A 67-year-old man presented with a 5-month history of an asymptomatic scalp lesion. On examination, we found a 5-cm erythematous plaque over the right frontoparietal scalp. A clinical diagnosis of alopecia mucinosa was made, and the lesion was biopsied. Histologic analysis showed no follicular mucinosis or epidermotropism. There was chronic inflammatory infiltrate, and the overall impression was that of an actinic keratosis. Because of the presence of inflammation, he was prescribed oral lymecycline, 408 mg/d.
Kamath S, Bhagwandas K. A Case of Epithelioid Angiosarcoma of the Scalp Treated With Paclitaxel and Radiotherapy. Arch Dermatol. 2011;147(1):129-130. doi:10.1001/archdermatol.2010.394