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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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Cassisa A, Cima L. Cutaneous vasculitis: insights into pathogenesis and histopathological features. Pathologica 2024; 116:119-133. [PMID: 38767544 PMCID: PMC11138767 DOI: 10.32074/1591-951x-985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Accepted: 03/01/2024] [Indexed: 05/22/2024] Open
Abstract
The mechanisms underlying the onset and progression of vasculitis remain poorly understood. This condition is characterized by damage to the vascular wall, recruitment of inflammatory cells, and subsequent structural remodeling, which are hallmarks of vasculitis. The histopathological classification of vasculitis relies on the size of the affected vessel and the predominant type of inflammatory cell involved - neutrophils in acute cases, lymphocytes in chronic conditions, and histiocytes in granulomatous forms. Pathological changes progress in every context, and a single vasculitic pattern can be associated with various systemic conditions. Conversely, a single causative agent may lead to multiple distinct clinical and pathological manifestations of vasculitis. Moreover, many cases of vasculitis have no identifiable cause. A foundational understanding of the normal structure of the cutaneous vascular network is crucial. Similarly, identifying the cellular and molecular participants and their roles in forming the "dermal microvascular unit" is propedeutical. This review aims to elucidate the complex mechanisms involved in the initiation and progression of vasculitis, offering a comprehensive overview of its histopathological classification, underlying causes, and the significant role of the cutaneous vascular network and cellular dynamics. By integrating the latest insights from studies on NETosis and the implications of lymphocytic infiltration in autoimmune diseases, we seek to bridge gaps in current knowledge and highlight areas for future research. Our discussion extends to the clinical implications of vasculitis, emphasizing the importance of identifying etiological agents and understanding the diverse histopathological manifestations to improve diagnostic accuracy and treatment outcomes.
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Affiliation(s)
- Angelo Cassisa
- Department of Oncology, Section of Pathology, San Giovanni di Dio Hospital, USL Centro Toscana, Florence, Italy
| | - Luca Cima
- Department of Laboratory Medicine, Pathology Unit, Santa Chiara Hospital, Trento, Italy
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3
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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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4
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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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Firsowicz M, Haller CN, Soldano A, Keeling BH, Diaz LZ. Cutaneous collagenous vasculopathy in a pediatric patient. Pediatr Dermatol 2022; 40:323-325. [PMID: 36261316 DOI: 10.1111/pde.15147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 09/11/2022] [Indexed: 11/28/2022]
Abstract
We report the case of a 13-year-old female who presented with punctate, erythematous macules coalescing into patches on the upper extremities and left thigh. A skin biopsy demonstrated dilated capillary-sized blood vessels in the papillary dermis consistent with a diagnosis of cutaneous collagenous vasculopathy (CCV). To our knowledge, this is the youngest patient to present with CCV and will represent the third pediatric case in the literature.
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Affiliation(s)
- Maya Firsowicz
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA
| | - Courtney N Haller
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA
| | - Anthony Soldano
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA.,Dermatopathology, Clinical Pathology Associates, Division of Dermatopathology, Austin, Texas, USA
| | - Brett H Keeling
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA.,Dermatopathology, Clinical Pathology Associates, Division of Dermatopathology, Austin, Texas, USA
| | - Lucia Z Diaz
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA.,Dell Children's Medical Center, Austin, Texas, USA.,Division of Pediatric Dermatology, Department of Pediatrics, University of Texas at Austin-Dell Medical School, Austin, Texas, USA
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Miroslav D, Lumir P, Petra C, Alexandra J, Kristyna N, Jiri S. A Case of Cutaneous Collagenous Vasculopathy Associated with Multiple Myeloma and with Pathogenic Variant in the Glucocerebrosidase Gene. J Cutan Pathol 2022; 49:717-721. [PMID: 35294059 DOI: 10.1111/cup.14227] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 03/04/2022] [Accepted: 03/13/2022] [Indexed: 11/29/2022]
Abstract
Cutaneous collagenous vasculopathy (CCV) is an extremely rare acquired microangiopathy of unknown etiology. The authors describe a case of a 68-year-old man, a carrier of a heterozygous pathogenic variant in the glucocerebrosidase (GBA) gene, who was diagnosed with CCV, revealing uncommon fibrinogen positivity in direct immunofluorescence. The patient was subsequently diagnosed with multiple myeloma. The treatment of myeloma with combined chemotherapy including bortezomib, followed by autologous stem cell transplantation, led to significant reduction of cutaneous lesions. To the best of the authors' knowledge, this is the first published case of CCV in a carrier of a pathogenic variant in the GBA gene, associated with multiple myeloma and with significant regression of CCV after the myeloma treatment. Direct immunofluorescence examination revealed uncommon fibrinogen positivity. Hypothetical causative role of bortezomib treatment was proposed regarding significant regression of CCV. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Dura Miroslav
- Department of Dermatology and Venereology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Pock Lumir
- Bioptical Laboratory Ltd, Pilsen, Czech Republic
| | - Cetkovska Petra
- Department of Dermatology and Venereology, Faculty of Medicine in Pilsen, Charles University and University Hospital in Pilsen, Czech Republic
| | - Jungova Alexandra
- Department of Hematooncology, Faculty of Medicine in Pilsen, Charles University and University Hospital in Pilsen, Czech Republic
| | - Nemejcova Kristyna
- Department of Pathology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Stork Jiri
- Department of Dermatology and Venereology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
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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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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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9
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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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10
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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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Matsuzaki Y, Takahashi M, Minakawa S, Jin K, Nakano H, Sawamura D. Cutaneous collagenous vasculopathy induced by the vascular endothelial growth factor receptor inhibitor axitinib. Int J Dermatol 2018; 57:e167-e169. [DOI: 10.1111/ijd.14243] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 07/19/2018] [Accepted: 08/24/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Yasushi Matsuzaki
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Mika Takahashi
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Satoko Minakawa
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Kayo Jin
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Hajime Nakano
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Daisuke Sawamura
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
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12
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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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13
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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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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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16
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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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17
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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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18
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Composite Fibrofolliculoma/Trichodiscoma With Vascular Mesenchymal Stromal Overgrowth. Am J Dermatopathol 2016; 38:562-5. [PMID: 27322792 DOI: 10.1097/dad.0000000000000397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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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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Cutaneous collagenous vasculopathy: a new case series with clinicopathologic and ultrastructural correlation, literature review, and insight into the pathogenesis. Am J Dermatopathol 2016; 37:368-75. [PMID: 25079204 DOI: 10.1097/dad.0000000000000194] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Cutaneous collagenous vasculopathy (CCV) is a rare distinct idiopathic microangiopathy of the superficial cutaneous vasculature. Seven new cases are reported (6 females and 1 male) ranging in age from 42 to 85 years, with some showing unusual clinical and histopathological findings. All presented with macular telangiectases starting on the lower extremities and spreading progressively in 5 cases and were suspected to have generalized essential telangiectasia. Two cases had a history of over 20 years. One case had lesions in the abdominal striae, and 1 was markedly ecchymotic. All skin biopsies showed the characteristic features of CCV with dilatation and marked thickening of the walls of superficial dermal blood vessels displaying reduplication of the basement membrane on periodic acid-Schiff-diastase stain and deposition of hyaline collagenous material immunostaining as collagen type IV, and showing decreased or absent actin staining. However, the changes were subtle and only seen focally in some biopsies. Few lymphoid cells were present around occasional vessels. Electron microscopy showed increased basement membrane lamellae with marked deposition of normal and some abnormal collagen (Luse-like bodies) and focal endothelial damage, suggesting reparative perivascular fibrosis resulting from repeated endothelial injury. These cases (and all 18 previously reported ones) are of a wide age range and no gender predilection. This disorder is underdiagnosed, and it is likely that some cases clinically suspected to be generalized essential telangiectasia may actually represent CCV. Better recognition by dermatologists may lead to more biopsies from patients with generalized telangiectasia and a further understanding of the pathogenesis of CCV and its relationship to other cutaneous vascular disorders.
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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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22
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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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Meah N, Khirwadkar N, Ellison J. A rare case of cutaneous collagenous vasculopathy. Australas J Dermatol 2015; 57:e97-9. [DOI: 10.1111/ajd.12330] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2014] [Accepted: 02/16/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Nekma Meah
- Dermatology; Royal Liverpool and Broadgreen University Hospital Trust; Merseyside UK
| | - Nitin Khirwadkar
- Histopathology; Royal Liverpool and Broadgreen University Hospital Trust; Merseyside UK
| | - Judith Ellison
- Dermatology; St Helens and Knowsley Hospitals NHS Trust; St Helens UK
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