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Case Reports in Dermatological Medicine
Volume 2013, Article ID 906426, 5 pages
http://dx.doi.org/10.1155/2013/906426
Case Report

Unusual Clinical Presentation of Cutaneous Angiosarcoma Masquerading as Eczema: A Case Report and Review of the Literature

1Stritch School of Medicine, Loyola University Chicago, Maywood, IL 60153, USA
2Department of Pathology, Loyola University Medical Center, Maywood, IL 60153, USA
3Department of Hematology and Oncology, Loyola University Medical Center, Maywood, IL 60153, USA
4Department of Radiation Oncology, Loyola University Medical Center, Maywood, IL 60153, USA
5Department of Dermatology, Loyola University Medical Center, Maywood, IL 60153, USA

Received 5 August 2013; Accepted 4 September 2013

Academic Editors: J. C. Szepietowski and J. A. Tschen

Copyright © 2013 Nhat Q. Trinh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An unusual case of cutaneous angiosarcoma clinically mimicking eczema is described. A 98-year-old Caucasian male presented with a 6-month history of a flesh-colored, subcutaneous nodule on his left forehead with contralateral facial erythema and scaling that had been previously diagnosed as eczema. Despite treatments with topical steroids and moisturizers, the condition did not resolve. At our clinic, excisional biopsy of the forehead lesion and scouting biopsies from the contralateral cheek were performed which revealed cutaneous angiosarcoma. The described case illustrates that dermatitis-like features should be considered as a rare clinical manifestation of cutaneous angiosarcoma. It also demonstrates that these lesions may respond well to radiotherapy as a single modality.