INTRODUCTION
Intracorneal hemorrhage may occur on the soles (black heel or talon
noir) or palms (black palm or tache noir) 1.
Dermoscopy typically shows a homogeneous or globular lesion with
discoloration that varies with the duration from the onset1. Angiokeratoma represents a benign vascular lesion
that histopathologically consists of dilated subepidermal vessels.
Solitary angiokeratoma on the palms and soles commonly shows reddish to
violaceous macules or plaques 2. Zaballos et al.
classified the dermoscopic findings of solitary angiokeratoma into the
following 3 patterns: i) the combination of dark lacunae and a whitish
veil; ii) the combination of dark lacunae, a whitish veil, and
peripheral erythema; iii) the combination of dark lacunae, a whitish
veil, and hemorrhagic crusts 3. We encountered a case
of solitary angiokeratoma that was indistinguishable from intracorneal
hemorrhage by dermoscopy.