angiosarcoma of the head and facial skin. for several years (!) increasing, so far completely asymptomatic, blurred, red spots on cheeks and forehead in a 75-year-old man. medical consultation because of recurrent, extensive bleeding in lesional skin. since one month growth of a soft, 8 mm large, solid blue-black node in the middle of the cheeks. extensive, configured redness with bizarre, linear and reticular telangiectasia. bleeding in the zygomatic bone.
acrocyanosis in right heart failure. extensive homogeneous reddening of the facial areas. clearly more prominent in cold weather. moderate cyanosis of the red of the lips. age involution of the chin region with oblique chin furrows. moist corners of the lips with occasional pearlèche.
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