Solitary angiokeratoma is reported to be distinguishable from intracorneal hemorrhage. Dermoscopy shows a whitish veil in solitary angiokeratoma and a homogeneous or globular lesion in intracorneal hemorrhage. However, we encountered a case of solitary angiokeratoma that was indistinguishable from intracorneal hemorrhage by dermoscopy. Dermatologists need to recognize this dermoscopic pitfall.