Brief ReportsAcquired Port Wine Stain of the Upper Eyelid After Cluster HeadacheVagefi, M Reza M.D.*; Florell, Scott R. M.D.†; Lin, Chun Cheng M.D.*; McCann, John D. M.D., Ph.D.*; Anderson, Richard L. M.D.* Author Information *Center for Facial Appearances; and †Department of Dermatology, University of Utah Health Science Center, Salt Lake City, Utah, U.S.A. Accepted for publication May 19, 2008. Address correspondence and reprint requests to Richard L. Anderson, M.D., Center for Facial Appearances, 1002 E. South Temple, Salt Lake City, UT 84102, U.S.A. E-mail: [email protected] Ophthalmic Plastic & Reconstructive Surgery: November 2008 - Volume 24 - Issue 6 - p 490-492 doi: 10.1097/IOP.0b013e31818d1dd7 Buy Metrics AbstractIn Brief A 69-year-old white man with a medical history of left-sided cluster headaches presented for evaluation of dermatochalasis. The left upper eyelid demonstrated red-pink, blanchable macules that coalesced in a patch. The lesion appeared after an episode of a cluster headache. Upper eyelid blepharoplasty permitted en bloc removal of most of the lesion. Histopathologic evaluation demonstrated aggregates of telangiectatic blood vessels in the papillary dermis consistent with the diagnosis of an acquired port wine stain. The authors report, to their knowledge, the first description of an acquired port wine stain associated with cluster headaches. A 69-year-old white man with a medical history significant for left-sided cluster headaches presented with the isolated finding of an acquired port wine stain of the left upper eyelid. ©2008The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.