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Unilateral Nevoid Telangiectasia Treatment & Management

  • Author: Rajani Katta, MD; Chief Editor: Dirk M Elston, MD  more...
 
Updated: Sep 04, 2015
 

Medical Care

In cases of acquired unilateral nevoid telangiectasia, observe for progression or improvement after addressing possible estrogen excess.

In congenital unilateral nevoid telangiectasia or in cases of acquired unilateral nevoid telangiectasia that do not improve, treatment is elective.

If cosmesis is desired, camouflage cosmetics or vascular laser treatment of the involved areas may be helpful.

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Surgical Care

Pulsed dye lasers with a wavelength of 585 nm and a pulse width of 450 microseconds offer a safe effective treatment of telangiectases. Use caution in the thinner skin in the neck area to avoid blistering and potential scarring. Cliff and Harland reported their results with the use of pulsed-dye laser in the treatment of 5 patients with unilateral nevoid telangiectasia.[10] They found that pulsed-dye laser was an effective treatment, but they noted a recurrence of lesions in all cases. Sharma and Khandpur, on the other hand, found no recurrence in their 6 Indian patients treated with the 585-nm pulsed dye laser.[11] A moderate response was achieved in all patients, and reversible pigmentary changes were the major adverse effects.

Pulsed-dye lasers with longer wavelengths and pulse widths are now available for larger vessels.

Pulsed KTP (potassium-titanyl-phosphate) 532-nm, long-pulsed alexandrite 755-nm, pulsed diode 800- to 930-nm, long-pulsed Nd:YAG 1064-nm, and filtered broad-spectrum pulsed light sources have been used for vascular lesions, with less postoperative purpura.

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Contributor Information and Disclosures
Author

Rajani Katta, MD Associate Professor, Department of Dermatology, Baylor College of Medicine; Dermatologist, Katta Dermatology

Rajani Katta, MD is a member of the following medical societies: American Academy of Dermatology, American Contact Dermatitis Society, Society of Behavioral Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Michael J Wells, MD, FAAD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

Van Perry, MD Assistant Professor, Department of Medicine, Division of Dermatology, University of Texas School of Medicine at San Antonio

Van Perry, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Abdul-Ghani Kibbi, MD Professor and Chair, Department of Dermatology, American University of Beirut Medical Center, Lebanon

Disclosure: Nothing to disclose.

References
  1. Happle R. Loss of heterozygosity in human skin. J Am Acad Dermatol. 1999 Aug. 41(2 Pt 1):143-64. [Medline].

  2. Happle R. Mosaicism in human skin. Understanding the patterns and mechanisms. Arch Dermatol. 1993 Nov. 129(11):1460-70. [Medline].

  3. Wilkin JK, Smith JG Jr, Cullison DA, Peters GE, Rodriquez-Rigau LJ, Feucht CL. Unilateral dermatomal superficial telangiectasia. Nine new cases and a review of unilateral dermatomal superficial telangiectasia. J Am Acad Dermatol. 1983 Apr. 8(4):468-77. [Medline].

  4. Hynes LR, Shenefelt PD. Unilateral nevoid telangiectasia: occurrence in two patients with hepatitis C. J Am Acad Dermatol. 1997 May. 36(5 Pt 2):819-22. [Medline].

  5. Beacham BE, Kurgansky D. Unilateral naevoid telangiectasia syndrome associated with metastatic carcinoid tumour. Br J Dermatol. 1991 Jan. 124(1):86-8. [Medline].

  6. Uhlin SR, McCarty KS Jr. Unilateral nevoid telangiectatic syndrome. The role of estrogen and progesterone receptors. Arch Dermatol. 1983 Mar. 119(3):226-8. [Medline].

  7. Kavak A, Kutluay L. Unilateral nevoid telangiectasia and hyperthyroidism: a new association or coincidence?. J Dermatol. 2004 May. 31(5):411-4. [Medline].

  8. Tanglertsampan C, Chanthothai J, Phichawong T. Unilateral nevoid telangiectasia: case report and proposal for new classification system. Int J Dermatol. 2013 May. 52:608-10. [Medline].

  9. Kreft B, Marsch WC, Wohlrab J. Unilateral nevoid telangiectasia syndrome. Dermatology. 2004. 209(3):215-7. [Medline].

  10. Cliff S, Harland CC. Recurrence of unilateral naevoid telangiectatic syndrome following treatment with the pulsed dye laser. J Cutan Laser Ther. 1999 Apr. 1(2):105-7. [Medline].

  11. Sharma VK, Khandpur S. Unilateral nevoid telangiectasia--response to pulsed dye laser. Int J Dermatol. 2006 Aug. 45(8):960-4. [Medline].

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Unilateral nevoid telangiectasia on the neck.
 
 
 
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