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Facial telangiectasias are dilated vessels appearing superficially in the dermis mostly on the alae nasi. Telangiectasias are also common in scars and various skin lesions.
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Age: most common in adults and elderly people
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Sex, race: no sex or race predisposition
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Precipitating factors: chronic actinic damage, rosacea, and topical steroid use are the most common precipitating factors. Other less common etiologies include hereditary hemorrhagic telengiectasia, Cockayne syndrome, ataxia telengiectasia, Bloom’s syndrome, Rothmund–Thomson syndrome, scleroderma, CREST syndrome, lupus, and radiation dermatitis
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Telangiectasias consist of fine, tiny, erythematous linear vessels, typically 0.2 to 2 mm in diameter, coursing along the surface of the skin, which blanch easily upon pressure.
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Dilated, thin-walled vessels in the upper dermis.
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Facial telangiectasias are usually chronic in nature with no spontaneous resolution.
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Facial telangiectasias are frequently treated for cosmetic purposes. Multiple effective treatment options exist.
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