Atypical case of telangiectatic metastatic breast carcinoma presenting as purpura

Facial Erythema in an Elderly Man

“…The present patient had no history of other cancer; however, cutaneous metastasis may be the first clinical sign of an underlying malignant tumor . Dilated blood vessels infiltrated by tumor cells may be seen in histopathological results . Metastatic breast cancer can present with this appearance (telangiectatic metastatic breast carcinoma or carcinoma telangiectaticum) …”

“…7 Dilated blood vessels infiltrated by tumor cells may be seen in histopathological results. [7][8][9][10] Metastatic breast cancer can present with this appearance (telangiectatic metastatic breast carcinoma or carcinoma telangiectaticum). 10 Rosacea-like CA may initially be misdiagnosed as acne rosacea and rhinophymatous rosacea, as in this case, which delays diagnosis and treatment.…”

“…[7][8][9][10] Metastatic breast cancer can present with this appearance (telangiectatic metastatic breast carcinoma or carcinoma telangiectaticum). 10 Rosacea-like CA may initially be misdiagnosed as acne rosacea and rhinophymatous rosacea, as in this case, which delays diagnosis and treatment. With the aging worldwide population, 5 dermatologists must maintain a high index of CA suspicion.…”

Cutaneous Metastatic Breast Cancer Masked by Hidradenitis Suppurativa

“…Nodules are the most common presentation of cutaneous metastases [3,7]. In addition to an inflammatory condition such as hidradenitis suppurativa, occult breast cancer can mimic dermatologic conditions (alopecia, dermatitis, periorbital edema, and scleroderma), bacterial (acute paronychia and cellulitis) or viral (varicella-zoster) infections, or vascular lesions (lymphangioma circumscriptum, palpable purpura, and pyogenic granuloma) [1,[7][8][9][10][11][12]. The reported patient's clinical features included draining nodules and sinus tracts not only on but also in between her breasts.…”

“…Cutaneous metastasis from breast carcinoma can mimic the clinical presentation of other conditions [7][8][9][10][11][12]. A 30-year-old woman with hidradenitis suppurativa of the axilla, breast, and groin was noted to have a firm nodule on her right breast.…”