GENERALIZED ESSENTIAL TELANGIECTASIA
By Gary M. White, MD
Generalized essential telangiectasia (GET) is a benign skin condition in which much of the skin develops telangiectasias.
- GET most commonly occurs in Caucasian women, aged late thirties to late forties, and presents first on the lower limbs with slow progression proximally to involve the trunk.
- Inheritance patterns and clinical variants have yet to be fully defined.
- No systemic bleeding is usually associated, although one patient did develop gastrointestinal bleeding associated with a watermelon stomach.
Telangiectasias develop in the skin of patients with this benign condition. Only small areas or the entire body, including the eyes, may be involved.
A biopsy should be done to exclude cutaneous collagenous vasculopathy. Hereditary hemorrhagic telangiectasia should be excluded and a screen for liver abnormalities should be done.
Individual areas may respond to laser, but treating the entire involved surface is usually impractical.
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