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April 1993

An Anemic Woman With Sparse Telangiectases

Author Affiliations

Department of Dermatology, University of Genoa (Italy)

Arch Dermatol. 1993;129(4):497-498. doi:10.1001/archderm.1993.01680250111018

REPORT OF A CASE  A 67-year-old woman presented for an array of small red lesions. The number of lesions increased during the weeks before her presentation; a few of them had been present for years. She suffered from epistaxis for 5 months. Blood flow was so copious that she was hospitalized; no definite diagnosis had been made there. The bleeding contributed to her poor general condition, for which she received many transfusions. She denied any similar condition in her family.On examination, some small telangiectases were seen on her face, trunk, limbs, palms, and periungual areas (Fig 1). They were more numerous on the nasal and conjunctival mucosa. The mucosa of the lips, gums, tongue, and the entire mouth was also involved (Figs 2 and 3).Routine laboratory tests revealed the following results or values: hypochromic microcytic anemia (erythrocytes, 3.4×109/L, with hemoglobin, 0.79; hematocrit, 0.27; and mean corpuscular

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