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Dermatology Research and Practice
Volume 2010, Article ID 365173, 3 pages
Case Report

Angiosarcoma Mimicking Rhinophyma

1Department of Pathology Systematics, Section of Dermatology, University Federico II of Naples, via S. Pansini 5, 80131 Naples, Italy
2Department of Biomorphological and Functional Science, Section of Pathology, University Federico II of Naples, 80131 Naples, Italy

Received 1 March 2010; Accepted 12 April 2010

Academic Editor: Bruce Robert Smoller

Copyright © 2010 Maurizio Lo Presti 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.


We report the case of a 61-year-old man showing persistent erythematous macules, plaques, and partially confluent nodules with irregular borders, developed on his nose for one year. During that time the patient underwent several dermatological consultations, and all produced the same diagnosis: rhinophyma. So antibiotic and steroid treatment was carried out without any improvement while the lesions kept growing. When the patient came to our observation, physical examination revealed large, infiltrative, oedematous, erythematous plaques and rare nodules, with superficial telangiectatic vessels. Cervical lymphadenopathy was not detectable. Routine laboratory analysis was normal. Punch biopsy was performed, and histopathology and immunohistochemical studies were consistent with cutaneous angiosarcoma. This is the report of a face angiosarcoma with an unusual and very deceptive clinical presentation.