Telangiectasias of the breasts showing diffuse dermal angiomatosis in a patient with diffuse livedo reticularis.
Dermatol Online J
; 28(5)2022 Oct 15.
Article
in En
| MEDLINE
| ID: mdl-36809137
ABSTRACT
The breasts are a common location for diffuse dermal angiomatosis (DDA) in a context of obesity and macromastia. The typical clinical presentation includes erythematous or purplish plaques, reticulated telangiectasias, and sometimes livedo reticularis, often complicated by painful ulcerations of the breasts. Biopsy usually confirms a dermal proliferation of endothelial cells staining positively for CD31, CD34 and SMAa and negatively for HHV8. We report herein a woman with DDA of the breasts presenting as diffuse livedo reticularis and acrocyanosis, both long-standing and considered idiopathic following extensive investigations. Since a biopsy of the livedo did not document DDA features in our case, we suggest that our patient's livedo reticularis and telangiectasias could constitute a vascular predisposition for DDA, as its pathogenesis frequently involves an underlying disease involving ischemia, hypoxia, or hypercoagulability.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Telangiectasis
/
Livedo Reticularis
/
Angiomatosis
Limits:
Female
/
Humans
Language:
En
Journal:
Dermatol Online J
Journal subject:
DERMATOLOGIA
Year:
2022
Document type:
Article
Affiliation country:
France