REPORT OF A CASE
A 44-year-old white man was seen for a minor dermatitis. He noted no changes in his skin. His recent history was remarkable for chronic renal failure (requiring peritoneal dialysis), hypertension, mild hypothyroidism, chronic sinusitis, and trigeminal neuralgia. As a young adult, he experienced three spontaneous pneumothoraces necessitating cautery. During childhood, he suffered from heat intolerance associated with hypohidrosis. He had no history of bleeding disorders. Family history was noncontributory and family members were not examined. His medications were carpamazepine, nifedipine, levothyroxine, and calcitriol.Complete skin examination revealed linear and macular telangiectases of the lips (Figure 1), buccal mucosa, and upper trunk. Several 1- to 2-mm red papules were present on the thighs, scrotum, and umbilicus (Figure 2). A punch biopsy specimen from an abdominal lesion is shown in Figure 3 and Figure 4. On slit lamp examination of the eyes, faint radial lens and corneal
Werninghaus K, Raab R, Palko M, Bhawan J. Punctate and Linear Angiectases. Arch Dermatol. 1995;131(1):85–86. doi:10.1001/archderm.1995.01690130087017
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