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
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
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
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]
^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. ISSN0926-9959. PMID22188514.
^ abAbbas, 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. ISSN0307-6938. PMID20500195.
^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. ISSN0926-9959. PMID25864701.
^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. ISSN0926-9959. PMID15009324.
^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. ISSN0190-9622.
Further reading
Wenson, Scott F; Jan, Farhana; Sepehr, Alireza (2011-05-01). "Unilateral nevoid telangiectasia syndrome: a case report and review of the literature". Dermatology Online Journal. 17 (5). doi:10.5070/D39MB4458K. ISSN1087-2108.
