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A seemingly insignificant lesion

467 A 60‐year‐old man presented to the clinic with a large nodular and vascular disfiguring skin lesion on the face [Figure 1]. He recalled the lesion as irregularly shaped violaceous patches on his face since early childhood. The lesion was present since infancy, but he has never sought medical advice. With increasing age, papules and nodules developed leading to significant disfigurement and creating nuisance for everyday life. There was no history of ulceration or bleeding as he recalled. He had no history of weight loss, prolonged fever, or seizures. Papules and nodules were never painful and no similar lesion developed elsewhere in his body. Family history was also negative.