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Telangiectasia macularis eruptiva perstans involving the upper arms in an adult male


European Journal of Dermatology. Volume 10, Number 7, 563-4, October - November 2000, Votre diagnostic !

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Author(s) : R. Betti, R. Vergani, E. Tolomio, P. Martino, C. Crosti

Summary : A 48-year-old white man presented us with a 1 year history of bilateral erythematous macular telangiectatic lesions on his upper arms. The lesions consisted of fine telangiectasia with a very slight erythematous macular background (Fig. 1), which urticated on rubbing. He denied itch or other symptoms. The patient was otherwise healthy and there was no familiar history of a similar eruption. He was not taking any medication or drugs. Histopathological examination showed dilated upper dermal capillaries with a discrete perivascular cellular infiltrate with a slight increase of mast cell number as demonstrated by Giemsa stain (Fig. 2). Moreover the increase of mast cells was revealed among the collagen bundles of the upper dermis.

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