Poikiloderma of Civatte

Updated: Oct 03, 2016
  • Author: Lana H Hawayek, MD; Chief Editor: Dirk M Elston, MD  more...
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Overview

Background

Poikiloderma of Civatte refers to erythema associated with a mottled pigmentation seen on the sides of the neck, more commonly in women. Civatte first described the condition in 1923.

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Pathophysiology

Poikiloderma of Civatte is a rather common, benign condition affecting the skin. Many consider it to be a reaction pattern of the skin and not a disease. The term poikiloderma refers to the combination of atrophy, telangiectasia, and pigmentary changes (both hypopigmentation and hyperpigmentation). Poikilodermatous lesions may be seen in certain genodermatoses (Rothmund-Thomson syndrome, Bloom syndrome, dyskeratosis congenita), in connective-tissue diseases (dermatomyositis, lupus erythematosus), in parapsoriasis/mycosis fungoides, and in radiodermatitis. Contact allergy may play a role in some cases. [1]

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Epidemiology

Frequency

The incidence of poikiloderma of Civatte is unknown; many patients may have a mild form of the disease and may not seek medical attention.

Race

Poikiloderma of Civatte occurs most commonly in fair-skinned individuals.

Sex

Poikiloderma of Civatte occurs more commonly in females than in males. [2]

Age

Most commonly, individuals affected are middle-aged or elderly women; however, the disease has been seen in other age groups.

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Prognosis

Poikiloderma of Civatte is a chronic skin condition, but the discomfort is solely cosmetic in most patients. Patients with the mild form do not seek medical advice.

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Patient Education

Instruct patients to avoid sun exposure and to use sunscreens.

Instruct patients to avoid perfumes and cosmetics.

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