Extensive Acquired Telangiectasias: Comparison of Generalized Essential Telangiectasia and Cutaneous Collagenous Vasculopathy.
The late development of symmetrical, ascending telangiectasias over an extensive area of the skin with no associated systemic manifestations is a common presentation of generalized essential telangiectasia (GET). It was recently suggested that cutaneous collagenous vasculopathy (CCV) is clinically identical to GET but that the 2 conditions can be distinguished by their distinctive histopathologic findings. We present 2 patients, both women, with multiple telangiectasias and describe the histopathologic findings that led to the diagnoses of GET and CCV. Dermoscopic findings in both cases were similar, except that the older telangiectasias in the patient with CCV were violaceous and distributed in a tortuous, serpentine pattern. During follow-up 12 years for the woman with GET and 42 years for the woman with CCV we saw that in GET the lesions remained stable in appearance whereas in CCV there was progressive darkening and morphological changes eventually resulting in superficial varicose veins.
Servicio de Dermatología, Hospital Universitari Son Espases, Palma de Mallorca, España. Electronic address: nicole.knopfel@gmail.com.
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N
Knöpfel
Servicio de Dermatología, Hospital Universitari Son Espases, Palma de Mallorca, España.
A
A
Martín-Santiago
Servicio de Anatomía Patológica, Hospital Universitari Son Espases, Palma de Mallorca, España.
C
C
Saus
Servicio de Dermatología, Hospital Universitari Son Espases, Palma de Mallorca, España.
M M
MM
Escudero-Góngora
Servicio de Dermatología, Hospital Universitari Son Espases, Palma de Mallorca, España.
L J
LJ
Del Pozo
Servicio de Anatomía Patológica, Hospital Universitari Son Espases, Palma de Mallorca, España.
C
C
Gómez
D000369:Aged, 80 and over; D003094:Collagen; D005260:Female; D006801:Humans; D008875:Middle Aged; D017445:Skin Diseases, Vascular / Q000473:pathology*; D013684:Telangiectasis / Q000473:pathology*
D003094:Collagen
Cuerpos de Luse; Cutaneous collagenous vasculopathy; Dermoscopy; Dermoscopía; Generalized essential telangiectasia; Luse bodies; Microangiopathy; Microangiopatía; Telangiectasia; Telangiectasias; Telangietasia esencial generalizada; Vasculopatía colágena cutánea