Cutaneous collagenous vasculopathy: development after coronary artery bypass surgery
Autor: | Callie Burgin, Sahand Rahnama-Moghadam, Simon Warren, Juliana Gilbert |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
Vasculitis Pathology medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities 030231 tropical medicine Dermatology Skin Diseases 030207 dermatology & venereal diseases 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine Dermis medicine Humans Telangiectasis Coronary Artery Bypass Telangiectasia business.industry Microangiopathy General Medicine Middle Aged medicine.disease cutaneous collagenous vasculopathy generalized essential telangiectasia Telangiectasia macularis eruptiva perstans medicine.anatomical_structure Ataxia-telangiectasia medicine.symptom Generalized essential telangiectasia business Cutaneous collagenous vasculopathy |
Zdroj: | Rahnama-Moghadam, Sahand; Burgin, Callie; Gilbert, Juliana; & Warren, Simon. (2018). Cutaneous collagenous vasculopathy: development after coronary artery bypass surgery. Dermatology Online Journal, 24(5). Retrieved from: http://www.escholarship.org/uc/item/0k8258qw |
Popis: | Cutaneous collagenous vasculopathy (CCV) is a rare benign microangiopathy of the superficial dermal vessels. Clinically, it is characterized by widespread, asymptomatic development of cutaneous telangiectasia in the absence of systemic symptoms. Morphologically, it most resembles generalized essential telangiectasia and other telangiectatic syndromes such as telangiectasia macularis eruptiva perstans (TMEP), ataxia telangiectasia, and hereditary hemorrhagic telangiectasia. It is distinctive in its histology, showing characteristic dilated thick-walled blood vessels in the superficial dermis. The thickened walls of these superficial dermal blood vessels demonstrate reduplication of the basement membrane on PAS staining. We report a 63-year-old man with CCV with this condition for 20 years, starting in 1996. He was diagnosed in the past as having essential telangiectasia. The development of the telangectasias occurred after coronary artery bypass grafting, also performed in 1996. This case not only demonstrates the characteristic clinical and histologic findings, but also suggests a possible mechanism. Moreover, it illustrates that cases of generalized essential telangiectasia may in fact be CCV that are misclassified. |
Databáze: | OpenAIRE |
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