Generalized Essential Telangiectasia
- Author: David Green, MD, PA; Chief Editor: Dirk M Elston, MD more...
Background
A telangiectasis refers to a visibly dilated blood vessel on the skin or mucosal surface. Telangiectases that develop in the absence of any preceding or coexisting cutaneous or systemic disease are considered to be primary or essential. Telangiectases resulting from or in association with a known disease state are classified as secondary.
Different presentations of primary telangiectases have been arbitrarily classified as distinct syndromes, designated by terms that often are descriptive based on inheritance, age of onset, anatomic distribution, morphology, prognosis, or associated findings. No recognized nomenclature exists for these telangiectatic disorders. Generalized essential telangiectasia refers to one syndrome of acquired primary telangiectases that are so termed because of their widespread anatomic distribution.[1]
Pathophysiology
The pathophysiologic factors causing blood vessel dilatation in generalized essential telangiectasia are yet to be elaborated. Familial cases have been reported with an autosomal dominant pattern of inheritance.
Epidemiology
Frequency
United States
Neither the incidence nor prevalence of generalized essential telangiectasia is known.
Mortality/Morbidity
General health is not affected in patients with telangiectases. No cutaneous changes or internal diseases are associated with generalized essential telangiectasia.
Race
Generalized essential telangiectasia has been reported more commonly in whites, perhaps because of the marked contrast of the vessels on light-complexioned skin.
Sex
Women are affected more commonly than are men, and in one published study of 13 people with generalized essential telangiectasia, 10 of the reported patients were women.
Age
In one report of 13 patients, the average age of onset for generalized essential telangiectasia was 38 years.[2]
Rothe MJ, Grant-Kels JM. Nomenclature of the primary telangiectasias. Int J Dermatol. May 1992;31(5):320. [Medline].
McGrae JD, Winkelmann RK. Generalized essential telangiectasia: Report of a clinical and histochemical study of 13 patients with acquired cutaneous lesions. JAMA. Sep 21 1963;185:909-13. [Medline].
Ali MM, Teimory M, Sarhan M. Generalized essential telangiectasia with conjunctival involvement. Clin Exp Dermatol. Nov 2006;31(6):781-2. [Medline].
Gantenbein C, Seiter S, Weik R, Reinhold U, Ruprecht KW, Tilgen W. [Ocular manifestation of progressive essential telangiectases]. J Fr Ophtalmol. Jan 2001;24(1):45-8. [Medline].
Mannis MJ, Bindi CS, Huntley AC. Ocular manifestations of generalized essential telangiectasia. Cornea. Nov 1999;18(6):731-3. [Medline].
Seiter S, Gantenbein C, Ugurel S, Ruprecht KW, Tilgen W, Reinhold U. An oculocutaneous presentation of essential progressive telangiectasia. Br J Dermatol. May 1999;140(5):969-71. [Medline].
Swensson B, Swensson O, Häring G. [Progressive disseminated essential telangiectasia with conjunctival involvement]. Klin Monatsbl Augenheilkd. Feb 1998;212(2):116-9. [Medline].
Person JR, Longcope C. Estrogen and progesterone receptors are not increased in generalized essential telangiectasia. Arch Dermatol. Jul 1985;121(7):836-7. [Medline].
Sadick NS, Niedt GW. A study of estrogen and progesterone receptors in spider telangiectasias of the lower extremities. J Dermatol Surg Oncol. Jul 1990;16(7):620-3. [Medline].
Thieu KP, Haynes HA. Generalized essential telangiectasia with predilection for surgical scar. J Am Acad Dermatol. Apr 2009;60(4):710-1. [Medline].
Wells RS, Dowling GB. Hereditary benign telangiectasia. Br J Dermatol. Jan 1971;84(1):93-4. [Medline].
Checketts SR, Burton PS, Bjorkman DJ, Kadunce DP. Generalized essential telangiectasia in the presence of gastrointestinal bleeding. J Am Acad Dermatol. Aug 1997;37(2 Pt 2):321-5. [Medline].
Braverman IM. Ultrastructure and organization of the cutaneous microvasculature in normal and pathologic states. J Invest Dermatol. Aug 1989;93(2 Suppl):2S-9S. [Medline].
Wenzel SM, Hohenleutner U, Landthaler M. Progressive disseminated essential telangiectasia and erythrosis interfollicularis colli as examples for successful treatment with a high-intensity flashlamp. Dermatology. 2008;217(3):286-90. [Medline].
Green D. Sclerotherapy treatment insights. Dermatol Clin. Jan 1998;16(1):195-211. [Medline].
Shelley WB. Essential progressive telangiectasia. Successful treatment with tetracycline. JAMA. May 24 1971;216(8):1343-4. [Medline].
Shelley WB, Shelley ED. Essential progressive telangiectasia in an autoimmune setting: successful treatment with acyclovir. J Am Acad Dermatol. Nov 1989;21(5 Pt 2):1094-6. [Medline].
Shelley WB, Fierer JA. Focal intravascular coagulation in progressive ascending telangiectasia: ultrastructural studies of ketoconazole-induced involution of vessels. J Am Acad Dermatol. May 1984;10(5 Pt 2):876-87. [Medline].
Buscaglia DA, Conte ET. Successful treatment of generalized essential telangiectasia with the 585-nm flashlamp-pumped pulsed dye laser. Cutis. Feb 2001;67(2):107-8. [Medline].
Gambichler T, Avermaete A, Wilmert M, Altmeyer P, Hoffmann K. Generalized essential telangiectasia successfully treated with high-energy, long-pulse, frequency-doubled Nd:YAG laser. Dermatol Surg. Apr 2001;27(4):355-7. [Medline].
Blume JE. Generalized essential telangiectasia: a case report and review of the literature. Cutis. Apr 2005;75(4):223-4. [Medline].
Abrahamian LM, Rothe MJ, Grant-Kels JM. Primary telangiectasia of childhood. Int J Dermatol. May 1992;31(5):307-13. [Medline].
Champion RH. Disorders affecting small blood vessels. In: Rook/Wilkinson/Ebling Textbook of Dermatology. Blackwell Scientific; 1986:1081.
Gentele H, Lodin A. Telangiectasia essentialis generalisata of unknown origin. Acta Derm Venereol. 1957;37(6):465-70. [Medline].
Kint A, Geerts ML, Platevoet D. Generalized essential telangiectasia. Arch Belg Dermatol Syphiligr. Oct-Dec 1972;28(4):377-85. [Medline].
Long D, Marshman G. Generalized essential telangiectasia. Australas J Dermatol. Feb 2004;45(1):67-9. [Medline].
Olsen T. Peripheral vascular diseases, necrotizing vasculitis, and vascular-related diseases. In: Moschella SL, Hurley HJ, eds. Dermatology. Philadelphia: WB Saunders Co; 1985:1049.
Reed WB, Epstein WL, Boder E, Sedgwick R. Cutaneous manifestations of ataxia-telangiectasia. JAMA. Feb 28 1966;195(9):746-53. [Medline].
Taber CW. Taber's Cyclopedic Medical Dictionary. Philadelphia: FA Davis Co; 1997:T-11.

