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Winter 2003, Vol. 11 No. 4

H.K. Dermatol. Venereol. Bull. (2003) 11, 209-213

Case Report

An unusual case of the cutaneous angiosarcoma of the face and scalp

KH Mak 麥錦霞 and WYW Tsang 曾奕桓

Angiosarcoma is an uncommon cutaneous vascular malignancy with a grave prognosis. Classically, it presents with an asymptomatic erythematous to bruise-like macular lesion in the face or scalp. Uncommon presentations include rosacea-like lesions, recurrent facial angio-oedema, cellulitis-like, xanthelasma-like lesions on eyelids causing ptosis and scarring alopecia. Our patient presented with an inflammatory nodular lesion initially masquerading a pyodermis infection. The correct diagnosis was made only after a skin biopsy.