Face Telangiectasia

Telangiectasia and redness on the Face

 

 In the newborn congenital conditions such as ataxia telangiectasia, Bloom’s syndrome, Rothman Thompson syndrome and Sturge-Weber have to be considered.  In an adult the commonest causes of facial erythema are familial, rosacea or secondary to steroid use.

Telangiectasia on the face can take several forms.  Spider telangiectasia are usually seen in a solitary lesion particularly in women in pregnancy but also in young children.  They have a central feeding arteriole and small peripheral vessels.  Fine telangiectasia is usually a weathering phenomenon or may be familial.  Matt telangiectasia is a characteristic feature of scleroderma and telangiectasia in conjunction with flushing papules and pustules is a primary feature of rosacea.  Some cases of rosacea may show the telangiectasia and very little inflammation.Hereditary hemorrhagic telangiectasia will be seen primarily on the lips and tongue.

 

 

SIGN DIP MEN  Overview of Telangiectasia

 

S Squamous– lupus erythematosus, tinea, atopic dermatitis,

 

I Infective- leprosy, erysipelas, lupus vulgaris

 

G Granulomatous – follicular mucinosis, sarcoidosis, TB, rosacea, neoplastic benign – Jessner’s lymphocytic infiltrate, lymphocytoma cutis, granuloma faciale

 

D Drugs –

 

I Immunological– dermatomyositis, lupus erythematosus, scleroderma

 

P Physical – sunburn, photosensitivity

 

M Metabolic – flushing, particularly the carcinoid syndrome, phaeochromocytoma, urticaria pigmentosa and drugs causing flushing, PCT, menopausal and emotional

 

NU Nutritional – pellagra,

 

Others – erythromelanosis follicularis faciei