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December 1990

Congenital Circumareolar Telangiectasias: A Uniquely Distributed Vascular Malformation

Author Affiliations

Department of Dermatology Rte 82, Bldg 53 University of California, Irvine Medical Center 101 City Dr S Orange, CA 92668

Veterans Affairs Administration Hospital 5901 E Seventh St Long Beach, CA 90822

Arch Dermatol. 1990;126(12):1656. doi:10.1001/archderm.1990.01670360124033

To the Editor.—  We recently saw a man with perfectly circular telangiectasias around both nipples with no associated abnormalities. We are unaware of any previous reports of this uniquely distributed vascular malformation.

Report of a Case.—  On physical examination for an unrelated skin condition, a 77-year-old man was noted to have perfectly circular, symmetric telangiectatic lesions around both nipples (Figs 1 and 2). The lesions were clearly vascular and best described as telangiectatic. The borders were amazingly discrete and each appeared centered around the nipple. The lesions had been present, unchanged and asymptomatic for as long as the patient could remember. There were no similar lesions in two brothers. His medical history was notable for prostate cancer at age 66 years that was treated with radiation therapy and a carpal tunnel syndrome of the right hand and wrist.An elliptical biopsy was performed to include both telangiectatic and normal skin.

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