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Telangiectasia

What is it telangiectasia?

Telangiectasia is a condition in which there are small visible linear Red blood vessels (broken capillaries) These are also called telangiectasias. The small visible blue blood vessels (spider veins) are called venulectasis why venules They are involved.

Telangiectasia

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Telangiectasia

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Telangiectasia

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Telangiectasia

Which is the differential diagnosis of telangiectasia?

Telangiectasias must be distinguished from others vascular conditions, including blood vessel tumors like infantile hemangiomas and angiomas arising in adults; Y capillary or venous vascular malformations

The large red blood vessels are arteries and the large blue blood vessels are veins. The arteries can become enlarged due to the formation of aneurysms. The enlarged veins due to the destruction of your valve system are known as varicose veins.

Classification of telangiectasia

Inherited conditions

  • Hereditary hemorrhagic telangiectasia
  • Benign hereditary telangiectasia
  • Generalized essential telangiectasia
  • Unilateral nevoid telangiectasia
  • Angioma serpiginous
  • Rothmund Thompson syndrome
  • Ataxia-telangiectasia
  • Bloom syndrome (congenital telangiectatic erythema)

  • Cockayne syndrome
  • Skin marmorata telangiectatica congenita
  • Focal dermal hypoplasia (Goltz syndrome)
  • Kindler's syndrome

Note that telangiectasia can be seen as a normal feature of facial skin in some families.

Hereditary telangiectasia

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Familial telangiectasia

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Benign hereditary telangiectasia

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Hereditary hemorrhagic telangiectasia

Acquired telangiectasia

  • Rosacea
  • Sun damaged and aged skin, especially in those who smoke

  • Spider telangiectasias (also called spider nevus or spider angioma)

  • Poikiloderma from Civatte (sun damage affecting the sides of the neck)
  • The pregnancy
  • Liver disease, particularly when associated with alcohol or viruses. infection

  • Cushing's syndrome
  • Systemic sclerosis especially CRST syndrome (which forms telangiectatic mats)
  • Cutaneous lupus erythematosus
  • Mixed connective tissue disease
  • Dermatomyositis
  • Mastocytosis, specifically the variant, eruptive telangiectasia macularis perstans

  • Carcinoid syndrome
  • Necrobiosis lipoidica
  • Male genitalia dysesthesia
Telangiectasia due to disease

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CRST syndrome

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Telangiectasia in mastocytosis

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Lipoid necrobiosis

Telangiectasia can follow a skin lesion. For example:

  • Scars, including hypertrophic and keloid scars
  • Livedoid vasculopathy and atrophie blanche
  • Radiation damage
  • Erythema ab igne.

Telangiectasia after injury.

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Radiation site

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Radiation site

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Erythema ab igne

Some tumors are characterized by telangiectasia, such as:

  • Sebaceous hyperplasia
  • Basal cell carcinoma
  • Merkel cell carcinoma
  • Kaposi sarcoma
  • Cutaneous T cell lymphoma (CTCL), particularly variant of poikiloderma vasculare

  • Intravascular B cell lymphoma.
Telangiectasia in skin tumors.

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Sebaceous hyperplasia

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Basal cell carcinoma

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CTCL

Certain medications can lead to telangiectasia.

  • Vasodilators, especially calcium channel blockers; sites exposed to the sun are mainly affected
  • Long-term systemic corticosteroids.
  • Long-term current corticosteroids including steroidal rosacea
  • Intralesional Triamcinolone Injections
Telangiectasia related to topical steroid use

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Telangiectasia due to topical steroids

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Steroid-induced telangiectasia

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Steroid-induced telangiectasia

What is the treatment for telangiectasia?

Telangiectasias are generally harmless. Treatment may be sought for bleeding or unsightly appearance. Facial red vein treatment methods include:

  • Electrosurgery
  • Intense Pulsed Light (IPL)

  • Vascular To be treatment
  • Sclerotherapy