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.
*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.
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