Acquired Bilateral Telangiectatic MaculesA Distinct Clinical Entity
- Autores: Ji-Hye Park, Dong Lee, Yoo-Jung Lee, Yong Hyun Jang, Hee Young Kang, You Chan Kim
- Localización: JAMA Dermatology, ISSN 2168-6068, Vol. 150, Nº. 9, 2014, págs. 974-977
- Idioma: inglés
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Resumen
Importance We evaluated 13 distinct patients with multiple telangiectatic pigmented macules confined mostly to the upper arms to determine if the clinical and histopathological features of these cases might represent a specific clinical entity.
Observations We retrospectively investigated the clinical, histopathologic, and immunohistochemical features of 13 patients with multiple telangiectatic pigmented macules on the upper arms who presented between January 2003 and December 2012. Epidermal pigmentation, melanogenic activity, melanocyte number, vascularity, epidermal thickness, and perivascular mast cell number of the specimens were evaluated. Clinically, the condition favored middle-aged men. On histopathologic examination, the lesional skin showed capillary proliferation and telangiectasia in the upper dermis. Histochemical and immunohistochemical analysis revealed basal hyperpigmentation and increased melanogenic activity in the lesional skin (P?
Conclusions and Relevance The clinical and histopathologic features of these lesions were relatively consistent in all patients. In addition, the features are quite distinct from other diseases. Based on clinical and histologic features, we suggest the name acquired bilateral telangiectatic macules for this new entity.
