Trüeb R M, Burg G
Dermatologische Klinik, Universitätsspital Zürich.
Vasa. 1993;22(1):82-5.
A case of unilateral spider telangiectasia on the left side of the face initiating at puberty is reported. With respect to its therapy and prognosis this alteration must be distinguished from other telangiectasias. With unilateral nevoid telangiectasia it shares the unilateral distribution of the lesions and the predilection for the female sex during hormonal instability periods. Both of these types of acquired telangiectasia seem to occur in relation with endocrine influences. Unilateral nevoid telangiectasia may also show typical spider telangiectasia but occurs in combination with other telangiectatic alterations. Unilateral "nevoid" spider telangiectasia consists exclusively of spider telangiectasia. Pathogenesis and further differential diagnosis of this peculiar type of primary telangiectasia are outlined.
报告了1例青春期开始出现的左侧面部单侧蜘蛛状毛细血管扩张病例。就其治疗和预后而言，这种改变必须与其他毛细血管扩张相区分。单侧痣样毛细血管扩张与之有共同特点，即病变呈单侧分布，且在激素不稳定期女性更易发生。这两种后天性毛细血管扩张似乎都与内分泌影响有关。单侧痣样毛细血管扩张也可能表现出典型的蜘蛛状毛细血管扩张，但常与其他毛细血管扩张性改变同时出现。单侧“痣样”蜘蛛状毛细血管扩张仅由蜘蛛状毛细血管扩张组成。本文概述了这种特殊类型的原发性毛细血管扩张的发病机制及进一步的鉴别诊断。
