A woman in her 50s presented with “speckled” red lesions on her bilateral arms, lower legs, and feet. They had first appeared on her lower legs 15 years ago and were slowly increasing in number and spreading to involve her feet and bilateral upper extremities. The patient denied tenderness, pruritus, and edema. She reported no family history of this problem and denied any personal history of anemia, epistaxis, hematemesis, melena, hematochezia, or hemoptysis. She had a medical history of hypertension, hyperlipidemia, and tobacco abuse, requiring treatment with losartan and atorvastatin.
Hunt KM, Kissel R, Seminario-Vidal L. Progressive Widespread Cutaneous Telangiectasias. JAMA Dermatol. 2014;150(10):1103-1104. doi:10.1001/jamadermatol.2014.1183