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| | Telangiectasia macularis eruptiva perstans |
 | | COMMENT: Telangiectasia macularis eruptiva perstans is a rare form of cutaneous mastocytosis and is observed in less than one percent of the patients with mastocytosis.[1,2] It is a disorder affecting adults and has been reported in one child.[3] Clinically, there are tan-to-brown macules and patchy erythema with telangiectases that most often involve the trunk. |
 | | However, unilateral facial telangiectasia macularis eruptiva perstans has been reported.[4] Most patients only have cutaneous involvement with pruritus of variable degree.[5] Systemic involvement is rare but can include episodic headaches, flushing, gastrointestinal complaints, palpitations, syncope, splenomegaly, increased numbers of mast cells in the bone marrow, and abnormal skeletal radiographs. |
 | | There is a report of temporary treatment of telangiectasia macularis eruptiva perstans with the 585 nm flashlamp-pumped dye laser.[6] It is also important to pretreat with proper H1 and H2 receptor blockers to avoid potential complications from laser-induced mediator release. |
| dermatology.cdlib.org /DOJvol6num1/NYUcases/tmep/tmep.html (514 words) |
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