Diagnosis: Telangiectasia macularis eruptiva perstans
Description: Red brown macules on covered areas of the skin. They are not scaly.
Morphology: Red,nonscaly
Site: Chest
Sex: M
Age: 62
Type: Clinical
Submitted By: Ian McColl
Differential Diagnosis
History:
Telangiectasia macularis eruptiva perstans is a rarer variant of urticaria pigmentosa where the macules are more red than brown in colour. They still urticate on rubbing. Patients may well have excess mast cells in the bone marrow. It can be treated with PUVA or nbUVB plus antihistamines to mop up any released histamine from the excess mast cells in the macules