Progressive disseminierte essentielle Teleangiektasien mit konjunktivaler Beteiligung

Abstract

The patient presented here shows widespread idiopathic telangiectasia with marked conjunctival involvement. Ocular changes rarely have been reported in patients with generalized essential telangiectasia to date. Concomittant conjunctival and cutaneous telangiectases may be seen in other conditions such as hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease) and ataxia telangiectasia (Louis-Bar syndrome). The former shows an associated bleeding abnormality and is transmitted autosomal dominantly. The latter presents associated neurological signs such as cerebellar ataxia, strabism, nystagmus, apraxia, and mental retardation.

Generalized Essential Telangiectasia Successfully Treated with High-Energy, Long-Pulse, Frequency-Doubled Nd:YAG Laser

“…Nevertheless, widespread telangiectasias, especially on exposed sites, can cause considerable psychological distress. To date, laser therapy has not been reported in patients with GET, although lasers are effective for the treatment of vascular lesions 1–6 . Therefore we report here a patient with GET successfully treated with a high‐energy, high‐frequency, long‐pulse Nd:YAG laser.…”

Generalized essential telangiectasia

“…Telangiectases are accentuated by dependent positioning and are often more prominent on lower legs and in the submammary region. Ocular manifestations of generalized essential telangiectasia consisting of conjunctival telangiectases have been recently reported 6–8 . Despite mention by some authors, 1 recurrent haemorrhages from the skin and mucous membranes are not a common feature 3,5 .…”

An oculocutaneous presentation of essential progressive telangiectasia

“…The simultaneous appearance of telangiectases on the skin and conjunctiva, however, has been described only by Gentele and Lodin in 1957 5 and Swensson et al . in 1998 6 . This uncommon disorder must be differentiated from other causes of telangiectasia, e.g.…”