From the Departments of Pediatrics and Dermatology, Northwestern University Medical School. Reprint requests: Amy S. Paller, M.D., Department of Dermatology, Children's Memorial Hospital, 2300 Children's Plaza, Chicago, IL 60614. of dusky red tiny papules was present on the dorsum of the right foot (Figure, A). Slightly elevated, deeply erythematous lesions with figurate borders and clear centers, which became suffused with dependency or crying, were located on the soles of both feet. By 3 months of age, the lesions were resolving. Although a few new rings had appeared, they were clearing as well. The lymphedema was unchanged. By 6 months of age, both lymphedema and hemangiomas were resolved. Patient 2 was first noted to have pedal lesions at 4 weeks of age. There were six violaceous annular patches with soft edematous centers on the lateral and plantar surfaces of the feet (Figure, B); the largest measured 2 cm in diamete/'. A biopsy of one of the lesions demonstrated the features of a capillary hemangioma. By 6 weeks of age, the lesions had almost disappeared, although the lymphedema persisted. Over the following six months of pedal vascular lesions have not cleared entirely. New, similar ringed lesions have developed on the feet. All of these rings wax and wane in intensity, as does the persisting lymphedema. There appears to be no correlation between the extent of the lymphedema and lesions at any fixed time. Patient 3 was observed to have a 2 cm annular lesion with a raised red border on the dorsum of the right foot at the base of the