TeleangiectasiaI78.8

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 21.04.2022

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Synonym(s)

Spider veins

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HistoryThis section has been translated automatically.

The term was first used by Graf in 1807.

DefinitionThis section has been translated automatically.

Permanently dilated skin capillaries visible to the naked eye with a diameter of =/< 0.1 cm. Teleangiectasias are still visible to the naked eye from a distance of about 2 m.

Teleangiectasias disappear under moderate glass spatula pressure. They are listed along with reticular varicosities (>0.2cm), when localized to the lower extremity, in the CEAP classification under C1 (clinic) as signs of early cutaneous varicosis.

Teleangiectasias may be localized, disseminated, or systematized.

ClassificationThis section has been translated automatically.

Six clinical forms are distinguished:

  • Linear or sinusoidal telangiectasia
  • Single branched telangiectasia
  • Reticular branching telangiectasia
  • Homogeneous patchy telangiectasia
  • Punctate telangiectasia
  • Nevus araneus (spider naevus) with centrally pulsating vessel.

EtiopathogenesisThis section has been translated automatically.

Teleangiectasias occur

- in the context of congenital nevi (primary telangiectasia) or

- secondary acquired / idiopathic without recognizable cause or

- monitoric in systemic diseases or

- reactive in primary cutaneous diseases.

Clinical featuresThis section has been translated automatically.

Diseases characterized by telangiectasia:

TherapyThis section has been translated automatically.

In case of cosmetic disorder laser treatment with argon laser or pulsed dye laser. Alternatively, sclerotherapy with sclerosing agents containing polidocanol (see sclerosing below), stitching with diathermy needle. If necessary also covering measures ( camouflage as e.g. with Dermacolor). Furthermore, consistent sun protection is important, see also sunscreens (e.g. with Anthelios, ROC sunscreen, Contralum ultra).

LiteratureThis section has been translated automatically.

  1. Allegra C et al (Union of Phlebology Working Group) (2003) The "C" of CEAP: suggested definitions and refinements: an International Union ofPhlebology
    conference of experts. J Vasc Surg 37:129-131.
  2. Pannier F et al (2010) Cutaneous Varicose veins. In: T Noppeney, H Nüllen Diagnosis and therapy of varicosis. Springer Medicine Publishing House Heidelberg S 150 -153

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Last updated on: 21.04.2022