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Poikiloderma of Civatte
Other Resources UpToDate PubMed

Poikiloderma of Civatte

Contributors: Fandi Xia MD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Poikiloderma of Civatte is a chronic, benign skin condition caused by long-term sun exposure in adults with lighter skin phototypes. It affects women more frequently than men and typically appears in and after the fifth decade of life. It presents as mottled erythema involving the lateral neck and the superior medial chest. Telangiectasias, hyper- and/or hypopigmentation, and superficial (epidermal or superficial dermal) atrophy may also be seen.

Poikiloderma of Civatte develops slowly over months to years. As many as half of all patients may complain of mild itching, burning, or flushing in affected areas. Contact sensitization to chemicals present in fragrances and cosmetics has been proposed as a cofactor in the development of this disorder.

Codes

ICD10CM:
L57.3 – Poikiloderma of Civatte

SNOMEDCT:
45265000 – Poikiloderma of Civatte

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Allergic contact dermatitis
  • Pigmented contact dermatitis (Riehl melanosis)
  • Drug-induced photosensitive reaction
  • Dermatomyositis
  • Systemic lupus erythematosus
  • Cutaneous T-cell lymphoma (see Poikiloderma vasculare atrophicans)
  • Small plaque parapsoriasis
  • Radiation dermatitis
  • Chronic graft-versus-host disease
  • Bloom syndrome
  • Rothmund-Thomson syndrome
  • Melasma
  • Telangiectasia macularis eruptiva perstans (TMEP)
  • Dyskeratosis congenita
  • Berlock dermatitis (see Phytophotodermatitis)

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:10/27/2020
Last Updated:11/02/2020
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Patient Information for Poikiloderma of Civatte
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Poikiloderma of Civatte
A medical illustration showing key findings of Poikiloderma of Civatte : Erythema, Lateral neck, Superior chest, Telangiectasia
Clinical image of Poikiloderma of Civatte - imageId=278658. Click to open in gallery.  caption: 'Telangiectasias and some hyper- and hypopigmentation on the lateral neck.'
Telangiectasias and some hyper- and hypopigmentation on the lateral neck.
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