Fernández-Crehuet Pablo, Ruiz-Villaverde Ricardo
Department of Dermatology, Dermatologist MD PhD, Complejo Hospitalario de Granada, Granada, Spain.
Dermatol Online J. 2017 Aug 15;23(8):13030/qt8m27b1x4.
Essential generalized telangiectasia as the result of postcapillary venule dilatation, is characterized by the sudden development of generalized telangiectasias, sometimes involving the conjunctiva. A few pediatric cases have been reported. The main condition in the differential diagnosis includes syndromes with telangiectasia such as hereditary hemorrhagic telangiectasia of Rendu-Osler, unilateral nevoid telangiectasia, and neonatal lupus erythematous. We present an 11-month-old boy that presented because of telangiectasia located on the face and neck. The telangiectasias appeared at two months of age and followed a progressive course. Nd-YAG laser therapy could be an interesting therapeutic approach in cosmetically compromised cases.
原发性全身性毛细血管扩张症是由毛细血管后微静脉扩张引起的，其特征为全身性毛细血管扩张症突然出现，有时累及结膜。已有少数儿科病例报道。鉴别诊断中的主要疾病包括伴有毛细血管扩张症的综合征，如Rendu - Osler遗传性出血性毛细血管扩张症、单侧痣样毛细血管扩张症和新生儿红斑狼疮。我们报告一例11个月大的男孩，因面部和颈部出现毛细血管扩张症前来就诊。这些毛细血管扩张症在两个月大时出现，并呈进行性发展。对于有美容缺陷的病例，Nd - YAG激光治疗可能是一种有趣的治疗方法。
