Teleangiectasia I78.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Spider veins

History
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The term was first used by Graf in 1807.

Definition
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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 together with reticular varices (>0.2 cm), when localized on the lower extremity, in the CEAP classification under C1 (clinical) as a sign of early cutaneous varicosis.

Teleangiectasias can occur in a localized, disseminated or systematized manner.

Classification
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Five clinical forms are distinguished:

  • Linear or sinusoidal telangiectasia
  • Single-branched telangiectasia
  • Reticulated branched telangiectasia
  • Point telangiectasia
  • Naevus araneus (Spider naevus) with centrally pulsating vessel.

Etiopathogenesis
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telangiectasias occur:

in the context of congenital nevi (primary telangiectasias) or

secondarily acquired idiopathic without identifiable cause, or

monitoring for systemic diseases or

reactive in primary cutaneous diseases.

Clinical features
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Diseases characterized by telangiectasia:

Therapy
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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).

Literature
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  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

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020