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Actinic damage

Fine, linear telangiectasias appear on a background of atrophic, sun-damaged skin with associated pigmentary changes.

Angioma serpingosum

Groups of minute, red-to-purple, non-blanching puncta are arranged in a distinctive serpiginous or net-like pattern.

Ataxia telangiectasia

Prominent, symmetrical telangiectasias characteristically affect the bulbar conjunctivae before appearing on the ears, cheeks, and flexural areas.

Carcinoid syndrome

Violaceous or cyanotic telangiectasias with a background flush develop on the face and upper trunk as a result of recurrent flushing episodes.

Cutaneous collagenous vasculopathy

Widespread, asymptomatic, non-palpable telangiectasias progressively cover the trunk and limbs without any associated skin atrophy or inflammation.

Dermatomyositis

Dilated and tortuous capillary loops are characteristically seen in the periungual region (nail folds), often with other signs like Gottron's papules.

Generalised essential telangiectasia

Fine, thread-like telangiectasias begin on the lower legs and gradually spread to become widespread over the body without any preceding skin changes.

Hereditary haemorrhagic telangiectasia

Multiple punctate telangiectasias and small red macules prominently appear on the lips, tongue, oral mucosa, and fingertips, often leading to recurrent bleeding.

Liver disease

Presents as spider angiomas, which feature a central red arteriole with radiating fine vessels, predominantly on the upper body.

Poikiloderma

Telangiectasias are an integral component of a mottled skin appearance that also includes reticulated hyper/hypopigmentation and atrophy.

Poikiloderma atrophicans vasculare

Widespread patches of telangiectasia, atrophy, and pigmentary changes occur in non-sun-exposed areas like the buttocks and flexures, often preceding mycosis fungoides.

Poikiloderma of Civatte

Reticulated reddish-brown pigmentation with telangiectasias specifically affects the sun-exposed sides of the neck, characteristically sparing the shaded area under the chin.

Radiotherapy

Coarse, arborizing telangiectasias develop within the sharply demarcated field of previous radiation treatment on fibrotic and atrophic skin.

Rosacea

Fine, linear telangiectasias are found on the central face, particularly the cheeks and nose, overlying a background of persistent erythema.

Scleroderma

Presents as distinctive, polygonal, mat-like telangiectasias on the face, hands, and chest, or as dilated capillary loops in the nailfolds.

Spider naevi

Features a central, pulsatile red arteriole from which fine vessels radiate outwards like legs, blanching completely upon central compression.

Steroid overuse

Linear telangiectasias develop within a localized area of thinned, fragile, atrophic skin resulting from prolonged application of topical corticosteroids.

Telangiectasia macularis eruptiva perstans

Innumerable reddish-brown macules with overlying telangiectasias are scattered on the trunk and limbs and may exhibit a positive Darier's sign (whealing) upon rubbing.

Unilateral naevoid telangiectasia

Fine telangiectasias appear in a unilateral, dermatomal, or segmental distribution, often on the face, neck, or upper trunk.

Venous stasis

Fine, reticulated telangiectasias (corona phlebectatica) appear on the lower legs and ankles amidst signs of chronic venous insufficiency like edema and haemosiderin staining.

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