case_images: PMC8579583_01
case_images: Left image showing violaceous plaques before external beam radiotherapy and right image showing hyperpigmentation following external beam radiotherapy
case_images: IJSTD-42-69-g001.jpg
case_images: PMC8579583_01_IJSTD-42-69-g001.jpg
case_images: F1
case_images: Cutaneous examination revealed multiple, discrete, violaceous plaques measuring 0.5 cm x 0.5 cm to 3 cm x 2 cm over the trunk, face [Figure 1, left one], neck, and both upper extremities [Figure 2]. The patient's facial lesions had resolved with hyperpigmentation including oral lesions, but lesions over the trunk and limbs were present [Figure 1 right one].
case_images: Violaceous plaques measuring 0.5 cm x 0.5 cm to 3 cm x 2 cm over the neck, trunk (anterior and posterior), and both upper extremities
case_images: IJSTD-42-69-g002.jpg
case_images: PMC8579583_01_IJSTD-42-69-g002.jpg
case_images: F2
case_images: Cutaneous examination revealed multiple, discrete, violaceous plaques measuring 0.5 cm x 0.5 cm to 3 cm x 2 cm over the trunk, face [Figure 1, left one], neck, and both upper extremities [Figure 2].
case_images: Erythematous plaque over the left tonsillar fossa and posterior pharyngeal wall
case_images: IJSTD-42-69-g003.jpg
case_images: PMC8579583_01_IJSTD-42-69-g003.jpg
case_images: F3
case_images: On oral examination, there were erythematous plaques over the left tonsillar fossa and posterior pharyngeal wall [Figure 3].
case_images: Irregularly distributed vascular channels, low-power view (x10), hematoxylin and eosin stain
case_images: IJSTD-42-69-g004.jpg
case_images: PMC8579583_01_IJSTD-42-69-g004.jpg
case_images: F4
case_images: Histopathological examination showed irregularly distributed vascular channels, some of which were surrounding preexisting vessels, with jagged outline throughout the dermis and were lined by a single layer of endothelial cells, cords, and clumps of spindle cells between dermal collagen bundles, with cells having plump vesicular nuclei [Figure 4].