Osteoma cutis is a single or multiple ectope calcification with development of bony structures in the skin. We distinguish between primary and secondary ossification. Multiple miliary osteoma in the face has mostly been described secondary to preexisting acne vulgaris. We present a 62-year-old woman who developed multiple miliary osteoma in the face together with repeated doses of estrogen and discuss pathogenesis and therapeutic possibilities.

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Cavernous hemangiomas of the scalp associated with vascular tumors of the skull occur rarely in older patients. Giant hemangiomas can cause complications secondary to extensive bleeding. Here we report on a 78-year-old female presenting with a giant ulcerated cavernous hemangioma of the scalp. Before admission to the hospital, she had suffered from severe bleeding of the vascular tumor, with resulting anemia. Because of her cardiovascular disease, the tumor mass, and possible vascular connections to osseous hemangiomas, complete surgical removal of the hemangioma was not indicated. Therefore the superficial ulceration was covered with a split skin transplant. After complete wound healing, no further bleeding occurred.

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