Acquired port wine stain of the upper eyelid after cluster headache.
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.
Vagefi
M Reza
MR
Center for Facial Appearances, University of Utah Health Science Center, Salt Lake City, Utah 84102, USA.
Florell
Scott R
SR
Lin
Chun Cheng
CC
McCann
John D
JD
Anderson
Richard L
RL
D000368:Aged; D019882:Blepharoplasty / Q000379:methods; D003027:Cluster Headache / Q000150:complications*; D003937:Diagnosis, Differential; D005143:Eyelids / Q000098:blood supply* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019339:Port-Wine Stain / Q000209:etiology* / Q000473:pathology / Q000601:surgery