Abstract: A 54-year-old female presented with rash on the left waist with pinching pain for 10 years. Dermatological examination showed bean-sized dark red maculopapule with soft touched and boundary irregularity on the left waist. Histopathological examination revealed clustered proliferating and dilated vessels with different sizes of lumens in the middle dermis, the vascular wall monolayer with endothelial cell was surrounded by a small amount of fibrous tissue. The diagnosis of tufted angioma was made.