Epithelioid hemangioma (EH) is a benign vascular tumor that frequently affects the skin and subcutaneous tissue. Clinically, EH presents as a red to violaceous papule, nodule, or plaque, measuring about 1 cm. 1 Without gender predilection, EH commonly affects young adults (20-50 years), preferentially head and neck region and distal extremities, followed by trunk, bone, lung, and lymph nodes. 1 Microscopy shows a benign vascular proliferation characterized by small to capillary-sized vessels lined with plump, epithelioid endothelial cells. However, the morphologic spectrum of EH is broad, including intravascular growth, cellular, or solid proliferation, as well as heavy inflammatory infiltrate. 2 Interestingly, several cases of hemorrhagic