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Unilateral nevoid telangiectasia

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Unilateral nevoid telangiectasia
SpecialtyDermatology

Unilateral nevoid telangiectasia presents with fine thread veins, typically over a segment of skin supplied by a particular nerve on one side of the body.[1] It most frequently involves the trigeminal, C3 and C4, or nearby areas.[1] The condition was named in 1970 by Victor Selmanowitz.[2]

Signs and symptoms

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Unilateral nevoid telangiectasia is characterized by multiple chronic asymptomatic superficial blanching telangiectasias along dermatomes or Blaschko's lines,[3] with asymmetric skin involvement,[4] while symmetric instances have been infrequently recorded.[5][6] The trunk and upper extremities' third and fourth cervical dermatomes are the most severely impacted.[4]

Causes

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Unilateral nevoid telangiectasia can be congenital or acquired. Rare congenital type manifests at or soon after the neonatal period; it is more common in males and occurs in an autosomal dominant pattern. Conversely, the acquired form is nearly exclusively found in young female patients who have physiologic problems.[7]

Diagnosis

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A normal-appearing epidermis with superficial dermal telangiectatic blood vessels beneath and a low level of inflammatory infiltration is revealed by histopathologic investigation.[8]

Treatment

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After the triggering factor is eliminated, unilateral nevoid telangiectasia usually persists but in rare situations, it resolves on its own. The first step in treatment is cosmetic concealment.[7] The condition has improved aesthetically with the use of pulsed dye laser, which has proven to be a useful alternative.[9]

See also

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References

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  1. ^ a b James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "28. Dermal and subcutaneous tumors: Unilateral nevoid telangiectasia". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. pp. 604–605. ISBN 978-0-323-54753-6.
  2. ^ Mulliken, John B. (2013). "13. Capillary malformations, hyperkeratotic stains, telangiectasias, and miscellaneous vascular blots". In Mulliken, John B.; Burrows, Patricia E.; Fishman, Steven J. (eds.). Mulliken and Young's Vascular Anomalies: Hemangiomas and Malformations (2nd ed.). Oxford University Press. p. 544. ISBN 978-0-19-972254-9.
  3. ^ Akman-Karakaş, A.; Kandemir, H.; Senol, U.; Unal, A.; Duman, O.; Ciftcioglu, M.A.; Haspolat, S.; Alpsoy, E. (2011-12-21). "Authors reply: New clues on the path of understanding unilateral naevoid telangiectasia". Journal of the European Academy of Dermatology and Venereology. 27 (2). Wiley: 258–259. doi:10.1111/j.1468-3083.2011.04408.x. ISSN 0926-9959. PMID 22188514.
  4. ^ a b Abbas, O.; Rubeiz, N.; Ghosn, S. (2010). "Extensive and progressive eruption in a young woman". Clinical and Experimental Dermatology. 35 (3). Oxford University Press (OUP): e85–e86. doi:10.1111/j.1365-2230.2009.03547.x. ISSN 0307-6938. PMID 20500195.
  5. ^ Happle, R. (2015-04-10). "Capillary malformations: a classification using specific names for specific skin disorders". Journal of the European Academy of Dermatology and Venereology. 29 (12). Wiley: 2295–2305. doi:10.1111/jdv.13147. ISSN 0926-9959. PMID 25864701.
  6. ^ Erbagci, Z; Erbagci, I; Erkiliç, S; Bekir, Na (2004-02-19). "Angioma serpiginosum with retinal involvement in a male: a possible aetiological role of continuous cold exposure". Journal of the European Academy of Dermatology and Venereology. 18 (2). Wiley: 238–239. doi:10.1111/j.1468-3083.2004.00899.x. ISSN 0926-9959. PMID 15009324.
  7. ^ a b Guedes, Rita; Leite, L (2012). "Unilateral nevoid telangiectasia: A rare disease?". Indian Journal of Dermatology. 57 (2). Medknow: 138. doi:10.4103/0019-5154.94288. ISSN 0019-5154. PMC 3352640. PMID 22615515.
  8. ^ Afsar, FSule; Ortac, Ragip; Diniz, Gulden (2008). "Unilateral nevoid telangiectasia with no estrogen and progesterone receptors in a pediatric patient". Indian Journal of Dermatology, Venereology and Leprology. 74 (2). Scientific Scholar: 163–164. doi:10.4103/0378-6323.39712. hdl:1807/48090. ISSN 0378-6323. PMID 18388386.
  9. ^ Hynes, Lisa R.; Shenefelt, Phillip D. (1997). "Unilateral nevoid telangiectasia: Occurrence in two patients with hepatitis C". Journal of the American Academy of Dermatology. 36 (5). Elsevier BV: 819–822. doi:10.1016/s0190-9622(97)70030-6. ISSN 0190-9622.

Further reading

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