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Damani N, Gunavardhan A, Waas RLV. Telangiectasia of the lower limbs in a 40-year-old man. Clin Exp Dermatol 2024:llae171. [PMID: 38778741 DOI: 10.1093/ced/llae171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Accepted: 05/02/2024] [Indexed: 05/25/2024]
Abstract
A 40-year-old man presented to the dermatology clinic with a 3-year history of erythematous changes to both of his lower legs. These changes began at his feet before spreading proximally.
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Affiliation(s)
- Namiz Damani
- Department of Dermatology, Glan Clwyd Hospital, Rhyl, UK
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2
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Vicente Basanta E, Vázquez-Osorio I, Figueroa-Silva O, Blanco Bellas M, Suárez-Peñaranda JM. Cutaneous collagenous vasculopathy: a case series. Int J Dermatol 2024; 63:688-689. [PMID: 38426286 DOI: 10.1111/ijd.17106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 01/06/2024] [Accepted: 02/13/2024] [Indexed: 03/02/2024]
Affiliation(s)
| | - Igor Vázquez-Osorio
- Department of Dermatology, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain
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3
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Kodali AT, Agni M, Marka A, Aaron D, Cloutier J, Sriharan A. Cutaneous Collagenous Vasculopathy: A Short Case Series and Literature Review. Am J Dermatopathol 2024; 46:292-304. [PMID: 38513131 DOI: 10.1097/dad.0000000000002662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
ABSTRACT Cutaneous collagenous vasculopathy (CCV) is a rare and idiopathic microangiopathy of superficial dermal blood vessels. There have been 75 cases described in the literature to date, not including the current report; however, given its clinical similarity to other primary telangiectasias, it is likely to be underreported and underdiagnosed. Here, we describe the clinical and histological features of 2 patients we newly diagnosed with CCV. Both generally fit the profile of prior cases and confirm previously described associations-they both are older White women, have rashes on their lower extremities, and have conditions and medications that are common among other reported cases. However, both are also somewhat atypical, as Patient 1 had symptomatic CCV and Patient 2 had a papular rash. As such, both cases broaden the spectrum of our current understanding of CCV. We also provide a comprehensive review of all published reports of CCV to date and uncover 2 previously unreported associations: one with visceral malignancy, and the other with hypothyroidism. Whether these association are coincidental is worth investigating in future studies.
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Affiliation(s)
| | - Meghana Agni
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
| | - Arthur Marka
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Denise Aaron
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Jeffrey Cloutier
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
| | - Aravindhan Sriharan
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
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4
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Pietkiewicz P, Adhikari A, Kowalska K, Malińska A, Bowszyc-Dmochowska M. Could Conventional, Ultraviolet-Induced Fluorescence and Sub-Ultraviolet Reflectance Dermatoscopy Assist the Diagnosis of Cutaneous Collagenous Vasculopathy? A Case Report. Dermatol Pract Concept 2024; 14:dpc.1402a77. [PMID: 38810058 PMCID: PMC11135922 DOI: 10.5826/dpc.1402a77] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2023] [Indexed: 05/31/2024] Open
Affiliation(s)
- Paweł Pietkiewicz
- Dermatology Private Practice, Poznań, Poland
- Polish Dermatoscopy Group, Poznań, Poland
| | | | - Katarzyna Kowalska
- Histology and Embryology Department, Poznan University of Medical Sciences, Poznan, Poland
| | - Agnieszka Malińska
- Histology and Embryology Department, Poznan University of Medical Sciences, Poznan, Poland
| | - Monika Bowszyc-Dmochowska
- Cutaneous Histopathology and Immunopathology Section, Department of Dermatology, Poznań University of Medical Sciences, Pozna, Poland
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5
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Aromolo IF, Di Michele E, Boggio FL, Cattaneo A, Marzano AV. Telangiectatic Macules Spreading During More Than 30 Years: A Quiz. Acta Derm Venereol 2024; 104:adv18429. [PMID: 38270259 PMCID: PMC10831866 DOI: 10.2340/actadv.v104.18429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 11/08/2023] [Indexed: 01/26/2024] Open
Abstract
Abstract is missing (Quiz)
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Affiliation(s)
| | - Eleonora Di Michele
- Department of Pathophysiology and Transplantation, Milan University, Milan, Italy
| | | | - Angelo Cattaneo
- Dermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Angelo Valerio Marzano
- Department of Pathophysiology and Transplantation, Milan University, Milan, Italy; Dermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
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6
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Belousova IE, Sulima DL, Shpiluyk RG, Sulejmanova SS, Gorbunov YG, Blum NM. Rare case of cutaneous collagenous vasculopathy in a patient with chronic HCV infection 1b subtype. VESTNIK DERMATOLOGII I VENEROLOGII 2022. [DOI: 10.25208/vdv1343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The article is devoted to a rare disease of cutaneous collagenous vasculopathy (CCV), which is characterized by common leather telangiectasias and specific histological signs: extended capillaries in the surface layers of the dermis, the walls of which are thickened due to hyaline deposits containing type IV collagen. According to literature, there are no publications about CCV in Russian sources. In foreign literature, only 60 cases are described, the first of which is mentioned in 2000. The patient turned to the EXCLUSIVE medical clinic to resolve the issue of the tactics of treatment of chronic HCV-infection 1b subtype and complaints of common telangiectasia on the skin and mucous membrane of both sclera, without subjective sensations. The first rashes appeared in 2008 and gradually progressed. When performing histological examination, expanded capillaries were found in the surface layers of the dermis, the walls of which are thickened due to protein deposits containing type IV collagen. The described case of CCV is the first in Russian literature and shows the need for histological and immunohistologycal studies to establish a final diagnosis.
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7
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Mahajan A, Zech L, Durkin JR. Progressive ascending telangiectasias. JAAD Case Rep 2022; 24:121-123. [PMID: 35774223 PMCID: PMC9237348 DOI: 10.1016/j.jdcr.2022.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Avanika Mahajan
- School of Medicine, University of New Mexico, Albuquerque, New Mexico
| | - Loren Zech
- Department of Dermatology, University of New Mexico, Albuquerque, New Mexico
| | - John R Durkin
- Department of Dermatology, University of New Mexico, Albuquerque, New Mexico
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8
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Grossman ME, Cohen M, Ravits M, Blume R, Magro CM. Cutaneous Collagenous Vasculopathy: A Report of 3 Cases. J Cutan Pathol 2021; 49:491-495. [DOI: 10.1111/cup.14192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 12/07/2021] [Accepted: 12/19/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Marc E. Grossman
- Associate Clinical Professor of Dermatology, Department of Dermatology Yale School of Medicine New Haven CT
- Adjunct Clinical Professor of Dermatology, Department of Dermatology, Hofstra/Northwell Donald and Barbara Zucker School of Medicine, New Hyde Park New York
| | - Marc Cohen
- State University of New York Downstate College of Medicine Brooklyn NY
| | | | - Ralph Blume
- Columbia University Department of Dermatology New York NY
| | - Cynthia M. Magro
- Weil Cornell Department of Dermatology, Department of Pathology and Laboratory Medicine New York NY
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9
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Veritable Vascular Changes: Answer. Am J Dermatopathol 2021; 42:706-707. [PMID: 32833737 DOI: 10.1097/dad.0000000000001425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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10
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Stavrou C, Uthayakumar A, Calonje JE, Bunker CB. Cutaneous collagenous vasculopathy. BMJ Case Rep 2021; 14:e241434. [PMID: 33758051 PMCID: PMC7993340 DOI: 10.1136/bcr-2020-241434] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/09/2021] [Indexed: 11/04/2022] Open
Affiliation(s)
- Christiana Stavrou
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - Aarthy Uthayakumar
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - Jaime Eduardo Calonje
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Christopher B Bunker
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
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11
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Eldik H, Leisenring NH, Al-Rohil RN, Marano AL. Cutaneous collagenous vasculopathy in a middle-aged woman with a history of prothrombin G20210A thrombophilia. J Cutan Pathol 2021; 49:679-682. [PMID: 33470458 DOI: 10.1111/cup.13895] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 09/14/2020] [Accepted: 10/02/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Hysem Eldik
- Department of Dermatology, Duke University Medical Center, Durham, North Carolina, USA
| | | | - Rami N Al-Rohil
- Department of Pathology, Duke University Medical Center, Durham, North Carolina, USA
| | - Anne L Marano
- Department of Dermatology, Duke University Medical Center, Durham, North Carolina, USA
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12
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A Rare Form of Acquired Telangiectasia With Distinctive Histopathologic Features: Answer. Am J Dermatopathol 2019; 41:950. [PMID: 31764233 DOI: 10.1097/dad.0000000000001240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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13
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Telangiectatic Patches on Knees and Elbows of a 73-Year-Old Woman: Answer. Am J Dermatopathol 2019; 41:860-861. [PMID: 31633552 DOI: 10.1097/dad.0000000000001233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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14
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Iriarte A, Figueras A, Cerdà P, Mora JM, Jucglà A, Penín R, Viñals F, Riera-Mestre A. PI3K (Phosphatidylinositol 3-Kinase) Activation and Endothelial Cell Proliferation in Patients with Hemorrhagic Hereditary Telangiectasia Type 1. Cells 2019; 8:cells8090971. [PMID: 31450639 PMCID: PMC6770684 DOI: 10.3390/cells8090971] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 08/20/2019] [Accepted: 08/21/2019] [Indexed: 12/12/2022] Open
Abstract
Hemorrhagic hereditary telangiectasia (HHT) type 2 patients have increased activation of the phosphatidylinositol 3-kinase (PI3K) signaling pathway in telangiectasia. The main objective is to evaluate the activation of the PI3K pathway in cutaneous telangiectasia of HHT1 patients. A cutaneous biopsy of a digital hand telangiectasia was performed in seven HHT1 and eight HHT2 patients and compared with six controls. The study was approved by the Clinical Research Ethics Committee of our center. A histopathological pattern with more dilated and superficial vessels that pushed up the epidermis was identified in HHT patients regardless of the type of mutation and was associated with older age, as opposed to the common telangiectasia pattern. The mean proliferation index (Ki-67) was statistically higher in endothelial cells (EC) from HHT1 than in controls. The percentage of positive EC for pNDRG1, pAKT, and pS6 in HHT1 patients versus controls resulted in higher values, statistically significant for pNDRG1 and pS6. In conclusion, we detected an increase in EC proliferation linked to overactivation of the PI3K pathway in cutaneous telangiectasia biopsies from HHT1 patients. Our results suggest that PI3K inhibitors could be used as novel therapeutic agents for HHT.
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Affiliation(s)
- Adriana Iriarte
- HHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
- Internal Medicine Department, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
- Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - Agnes Figueras
- Program Against Cancer Therapeutic Resistance, Institut Catala d'Oncologia, Hospital Duran i Reynals, L'Hospitalet de Llobregat, 08907 Barcelona, Spain
- Oncobell Program, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - Pau Cerdà
- HHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
- Internal Medicine Department, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
- Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - José María Mora
- HHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
- Internal Medicine Department, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
- Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - Anna Jucglà
- HHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
- Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain
- Dermatology Department, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
| | - Rosa Penín
- Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain
- Pathological Anatomy Department, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain
| | - Francesc Viñals
- Program Against Cancer Therapeutic Resistance, Institut Catala d'Oncologia, Hospital Duran i Reynals, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
- Oncobell Program, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
- Physiological Sciences Department, Faculty of Medicine and Health Sciences, Universitat de Barcelona, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
| | - Antoni Riera-Mestre
- HHT Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
- Internal Medicine Department, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
- Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
- Clinical Sciences Department, Faculty of Medicine and Health Sciences, Universitat de Barcelona, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
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Sartori DS, de Almeida Jr. HL, Dorn TV, Ruas CP. Cutaneous collagenous vasculopathy: light and transmission electron microscopy. An Bras Dermatol 2019; 94:211-213. [PMID: 31090827 PMCID: PMC6486062 DOI: 10.1590/abd1806-4841.20198166] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 05/27/2018] [Indexed: 11/29/2022] Open
Abstract
Cutaneous collagenous vasculopathy is a rare acquired idiopathic microangiopathy characterized by progressive development of diffuse asymptomatic telangiectasias and histologically by accumulation of collagen type IV around the affected vessels. It is diagnosed by its clinical history, confirmed by light microscopy with collagen-specific immunostaining. We report a case of a patient with extensive acquired telangiectasias on the left arm, clinically resembling unilateral nevoid telangiectasia. Dilated blood vessels with thickened walls were observed in the dermis. Immunohistochemistry with collagen IV antibodies revealed marked collagen deposition around the vessels, confirming the diagnosis. Transmission electron microscopy observed duplicate and triplicate vascular basal membrane associated with deposition of amorphous material around the membranes.
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Affiliation(s)
- Debora Sarzi Sartori
- Academic Hospital, Universidade Federal de Pelotas,
Pelotas (RS), Brazil
- Post-Graduation Program in Health, Universidade
Católica de Pelotas, Pelotas (RS), Brazil
| | - Hiram Larangeira de Almeida Jr.
- Post-Graduation Program in Health, Universidade
Católica de Pelotas, Pelotas (RS), Brazil
- Department of Dermatology, Universidade Federal de
Pelotas, Pelotas (RS), Brazil
| | | | - Caroline Pires Ruas
- Electron Microscopy Center of the South, Fundação
Universidade de Rio Grande, Rio Grande (RS), Brazil
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16
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Maurier F, Galland J, Lipsker D. An Unusual Cause of Recurrent Gastric Bleeding. Gastroenterology 2018; 155:e9-e11. [PMID: 29410098 DOI: 10.1053/j.gastro.2017.12.030] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Revised: 12/04/2017] [Accepted: 12/14/2017] [Indexed: 12/02/2022]
Affiliation(s)
- Francois Maurier
- Internal Medicine, Hôpitaux Privés de Metz Site Belle Isle, Metz, France
| | - Joris Galland
- Internal Medicine, Hôpitaux Privés de Metz Site Belle Isle, Metz, France
| | - Dan Lipsker
- Faculty of Medicine, University of Strasbourg and Department of Dermatology, University Hospital Center of Strasbourg, Strasbourg, France
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17
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Cutaneous Collagenous Vasculopathy: A Unique Case With Positive Direct Immunofluorescence Findings. Am J Dermatopathol 2017; 41:77-79. [PMID: 29135504 DOI: 10.1097/dad.0000000000001041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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18
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García-Martínez P, Gomez-Martin I, Lloreta J, Pujol RM. Multiple progressive annular telangiectasias: A clinicopathological variant of cutaneous collagenous vasculopathy? J Cutan Pathol 2017; 44:982-985. [DOI: 10.1111/cup.13029] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Revised: 07/29/2017] [Accepted: 08/09/2017] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - Josep Lloreta
- Department of Pathology; Hospital del Mar-Parc de Salut Mar; Barcelona Spain
| | - Ramon M Pujol
- Department of Dermatology; Hospital del Mar-Parc de Salut Mar; Barcelona Spain
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19
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Bondier L, Tardieu M, Leveque P, Challende I, Pinel N, Leccia MT. Cutaneous Collagenous Vasculopathy: Report of Two Cases Presenting as Disseminated Telangiectasias and Review of the Literature. Am J Dermatopathol 2017; 39:682-688. [DOI: 10.1097/dad.0000000000000613] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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21
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Extensive Acquired Telangiectasias: Comparison of Generalized Essential Telangiectasia and Cutaneous Collagenous Vasculopathy. ACTAS DERMO-SIFILIOGRAFICAS 2017. [DOI: 10.1016/j.adengl.2017.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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22
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Knöpfel N, Martín-Santiago A, Saus C, Escudero-Góngora M, del Pozo L, Gómez C. Telangiectasias extensas adquiridas: comparación entre telangiectasia esencial generalizada y vasculopatía colágena cutánea. ACTAS DERMO-SIFILIOGRAFICAS 2017; 108:e21-e26. [DOI: 10.1016/j.ad.2016.02.020] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2015] [Revised: 01/13/2016] [Accepted: 02/07/2016] [Indexed: 11/28/2022] Open
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23
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Castiñeiras-Mato I, Rodríguez-Lojo R, Fernández-Díaz M, Bal-Nieves F. Cutaneous Collagenous Vasculopathy: A Case Report and Review of the Literature. ACTAS DERMO-SIFILIOGRAFICAS 2016. [DOI: 10.1016/j.adengl.2016.03.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Abstract
Cutaneous collagenous vasculopathy (CCV) is a distinct, rare, and underdiagnosed condition. We report a case of CCV in a 50-year-old woman presenting as asymptomatic, erythematous to hyperpigmented nonblanchable macules over both the lower extremities. The clinical differential diagnosis of the lesions was pigmented purpuric dermatoses (Schamberg's purpura) and cutaneous small vessel vasculitis. Histology of the lesions revealed dilated superficial dermal vessels with abundant pink hyaline material in the vessel wall, which stained with periodic acid Schiff stain. The patient was diagnosed as CCV. This condition remains largely underdiagnosed and is commonly mistaken for pigmented purpuric dermatosis or generalized essential telangiectasia. Emphasis on the differentiation of CCV from its clinical and histological mimicks is made.
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Affiliation(s)
- Kinjal Deepak Rambhia
- Department of Dermatology, Seth GS Medical College, KEM Hospital, Mumbai, Maharashtra, India
| | - Snehal D Hadawale
- Consultant Dermatologist New Snehadeep Skin and Eye Hospital, Mumbai, Maharashtra, India
| | - Uday S Khopkar
- Department of Dermatology, Seth GS Medical College, KEM Hospital, Mumbai, Maharashtra, India
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Castiñeiras-Mato I, Rodríguez-Lojo R, Fernández-Díaz ML, Bal-Nieves F. Cutaneous Collagenous Vasculopathy: A Case Report and Review of the Literature. ACTAS DERMO-SIFILIOGRAFICAS 2016; 107:444-7. [PMID: 26829992 DOI: 10.1016/j.ad.2015.11.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Revised: 11/18/2015] [Accepted: 11/21/2015] [Indexed: 11/30/2022] Open
Affiliation(s)
- I Castiñeiras-Mato
- Servicio de Dermatología, Hospital Universitario Lucus Augusti, Lugo, España.
| | - R Rodríguez-Lojo
- Servicio de Dermatología, Hospital Universitario Lucus Augusti, Lugo, España
| | - M L Fernández-Díaz
- Servicio de Dermatología, Hospital Universitario Lucus Augusti, Lugo, España
| | - F Bal-Nieves
- Servicio de Anatomía Patológica, Hospital Universitario Lucus Augusti, Lugo, España
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26
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Motegi SI, Yasuda M, Yamanaka M, Amano H, Ishikawa O. Cutaneous collagenous vasculopathy: Report of first Japanese case and review of the literature. Australas J Dermatol 2016; 58:145-149. [DOI: 10.1111/ajd.12444] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 11/26/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Sei-ichiro Motegi
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Masahito Yasuda
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Masayoshi Yamanaka
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Hiroo Amano
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Osamu Ishikawa
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
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27
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Basso D, Ribero S, Blazek C, Dietrich N, Beltraminelli H, Ramelet AA, Borradori L, Adatto M. Cutaneous Collagenous Vasculopathy: A Rare Form of Microangiopathy Successfully Treated with a Combination of Multiplex Laser and Optimized Pulsed Light with a Review of the Literature. Dermatology 2015; 232:107-11. [DOI: 10.1159/000439126] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 07/31/2015] [Indexed: 11/19/2022] Open
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Toda-Brito H, Resende C, Catorze G, Viana I. Cutaneous collagenous vasculopathy: a rare cause of generalised cutaneous telangiectasia. BMJ Case Rep 2015; 2015:bcr-2015-210635. [PMID: 26156838 DOI: 10.1136/bcr-2015-210635] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Cutaneous collagenous vasculopathy is a rare cutaneous microangiopathy of unknown aetiology with only 27 cases reported to date. It is characterised clinically by generalised cutaneous telangiectasias and microscopically by dilation and marked thickening of the walls of superficial dermal blood vessels. Differential diagnosis should be performed with other causes of disseminated telangiectasias, including generalised essential telangiectasia, from which it is clinically indistinguishable. We report a new case of cutaneous collagenous vasculopathy in a 61-year-old woman presenting with a 5-year history of asymptomatic telangiectasias distributed symmetrically on her upper and lower limbs and highlight the importance of clinicopathological correlation for the diagnosis of this disease.
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Affiliation(s)
- Helena Toda-Brito
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
| | | | - Goreti Catorze
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
| | - Isabel Viana
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
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