A 33-year-old woman presented with a one-month history of a rapidly growing, solitary lesion on her right cheek. Examination revealed a 1-cm erythematous nodule, with a central keratin plug, covered with crusts and blood spots, highly suspicious of a keratoacanthoma (KA). Dermoscopic examination revealed haemorrhages, keratin, and keratinizing pearls (white circles) (figure 1) with a vascular pattern of hairpin, coil, and serpentine vessels. The patient underwent prompt surgical removal of the lesion [...]