Epithelioid angiomatosis in darker-skinned individuals presents as red to purple, well-defined nodules or plaques, commonly affecting the skin, and may be harder to detect in darker skin tones due to pigmentation. It is a rare vascular condition associated with immunocompromised states, often seen in patients with HIV/AIDS, and can involve systemic organs such as the liver and spleen. Treatment typically involves the use of antibiotics like doxycycline or rifampin for associated infections, along with antiretroviral therapy (ART) for HIV-positive individuals, and in some cases, surgical excision or cryotherapy for localized lesions.