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Successful treatment of chronic severe alopecia areata with abrocitinib

final diagnosis of atypical vascular proliferation of the breast, lymphatic type, was provided. After thorough patient counselling, wide local excision was performed. AVPB typically presents as a solitary, asymptomatic lesion—either a papule, a plaque, a patch or a nodule— measuring less than 1 cm in diameter. Although a shorter latency was initially suggested, median time to diagnosis is 6 years postirradiation. Actual progression to angiosarcoma is still a matter of debate. In a large retrospective cohort, cutaneous angiosarcoma was diagnosed in 3% of cases, usually within a short time interval from the diagnosis of AVPB. Dermoscopic assessment of vascular lesions is challenging and generally depends on the analysis of vessel morphology. The presence of a fine, regular pigment network as the sole dermoscopic finding has been documented in other vascular neoplasms of the skin, such as Kaposi sarcoma, and in a variety of nonmelanocytic lesions. In conclusion, we reported the first dermoscopic description of an AVPB. Although further research is warranted, relying excessively on dermoscopic findings could potentially lead to the incorrect diagnosis of this entity as a banal-looking nevus, with the inherent risk of inadequate patient management. History and clinical correlation may be key in making the correct diagnosis in cases lacking visible vessels on dermoscopy.