Telangiectasia in Child
While telangiectases may be thought of as distinct clinical entities, they are also prominent features of certain diseases and may be clues to an underlying disorder. They can also be caused by medications, such as topical and oral steroids, as well as oral contraceptives.
Causes of telangiectases are many and include venous hypertension, local trauma, radiation damage, corticosteroid use, estrogen / progesterone excess, collagen vascular diseases, and multiple genodermatoses.
Telangiectases very rarely bleed. They are a cosmetic nuisance, and treatment is optional.
I78.1 – Nevus, non-neoplastic
247479008 – Telangiectasia disorder
Differential Diagnosis & Pitfalls
- Solar-damaged skin
- Post-surgical procedure – Laser, electro, cryo.
- Radiation dermatitis
- Basal cell carcinoma
- Estrogen excess – Cirrhosis, pregnancy, oral contraceptive use.
- Cushing syndrome
- Costal fringe
- Venous insufficiency / venous hypertension
- Collagen vascular disease – dermatomyositis, lupus erythematosus, scleroderma
- Steroid atrophy
- Xeroderma pigmentosum
- Pseudoxanthoma elasticum
- Necrobiosis lipoidica
- Poikiloderma of Civatte
- Metastatic carcinoma
- Carcinoid syndrome
- Telangiectasia macularis eruptiva perstans
- Focal dermal hypoplasia
- Rothmund-Thomson syndrome
- Bloom syndrome
- Dyskeratosis congenita
- Generalized essential telangiectasia
- Hereditary hemorrhagic telangiectasia
- Unilateral nevoid telangiectasia syndrome
- Spider angioma (nevus araneus)
- Angioma serpiginosum
Drug Reaction Data