Dermoscopic features of telangiectasia macularis multiplex acquisita

Xiaopo Wang
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Abstract

Telangiectasia macularis multiplex acquisita is a rarely described entity, characterized by multiple asymptomatic erythematous and/or brownish macules with telangiectasias, preferably on bilateral upper arms and trunk. We reported a 56-year-old Chinese man with telangiectasia macularis multiplex acquisita. Dermoscopic examination demonstrated an erythematous-brownish background with a striking angioid streak pattern (a central arteriole with superficial radiating small vessels attributed to spider-like eruptions) and linear-irregular branching vessels. We suggest dermoscopic features can be used to improve the accuracy of clinical diagnosis and avoid unnecessary skin biopsies.
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获得性多发性毛细血管扩张症的皮肤镜特征
获得性多发性毛细血管扩张症(Telangiectasia macularis multiplex acquisita)是一种罕见的疾病,其特征是多发性无症状红斑和/或褐色斑丘疹,伴有毛细血管扩张,好发于双侧上臂和躯干。我们报告了一名 56 岁的中国男性,他患有毛细血管扩张性多发性黄斑病。皮肤镜检查显示其背景为红斑-褐色,有明显的血管条纹图案(中央动脉与浅表放射状小血管组成蜘蛛状糜烂)和线状-不规则分支血管。我们建议利用皮肤镜特征来提高临床诊断的准确性,避免不必要的皮肤活检。
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