Only 2 cases of histiocytoid hemangioma localized in the nail apparatu
s have been reported in the literature. We describe here a patient aff
ected by multiple histiocytoid hemangiomas involving the 3rd right dig
it and fingernail. The pathological features were typical for a diagno
sis of histiocytoid hemangioma showing vascular proliferation characte
rized by enlarged endothelial cells associated with inflammatory cells
. Phenotypic characterization of the proliferating cells confirmed the
ir vascular origin.