ABSTRACT

References 485

1. INTRODUCTION

The term telangiectasia refers to a dilated venule, capillary, or arteriole visible to the

human eye and measuring 0.1-1.0 mm in diameter (1). Telangiectasias develop on the

face secondary to genetic predisposition, chronic actinic damage, collagen vascular

disorders, topical corticosteroid application, and disorders of vascular regulation such as

acne rosacea. Linear and “spider” telangiectasias develop on the legs, especially in

women, beginning in the second to third decade due to multiple factors including

genetic predisposition, gravity, pregnancy, and trauma. Papular telangiectasias are fre-

quently seen as part of genetic syndromes, such as Osler-Weber-Rendu syndrome,

and are also seen in collagen vascular disorders (2). Spider telangiectasias typically

occur in school-age children, with most persisting into adulthood. They present a cosmetic

concern as well as the propensity to bleed with minor trauma (1).