Blue-grey Discoloration of Nose, Cheeks, and Forehead

Blue-grey Discoloration of Nose, Cheeks, and Forehead

An 81-year-old man with a history of atrial fibrillation and hypertension presented to the emergency department after a fall.

His medications were apixaban, ramipril, bisoprolol, amlodipine, and amiodarone. Physical examination showed discoloration of his nose, cheeks, and forehead.

What is the most likely diagnosis?