POIKILODERMA OF CIVATTE
By Gary M. White, MD
Poikiloderma of Civatte is a term given to poikilodermatous changes of the neck and chest in adults, presumably secondary to aging and photodamage.
In the photo-exposed areas of the sides of the neck and chest, reticulate pigmentation, telangiectasias and atrophy (the 3 features of poikiloderma) occur. The very undersurface of the neck below the chin is spared (no sun). Inquiry should be made to any perfumes applied routinely in the area to exclude
pigmented contact dermatitis.
Daily morning sunscreen is critical to prevent future damage. No treatment is needed. Laser therapy can be effective.
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