Abstract
Telangiectasia macularis eruptiva perstans (TMEP) is a rare adult mastocytosis with prominent cutaneous manifestations including red to brown telangiectatic macules typically on the chest or limbs. TMEP can be a cause of morbidity with associated cutaneous findings (e.g. flushing, pruritus, ulcers) and extracutaneous symptoms (e.g. dyspnea, reflux, diarrhea, hypotension). Previous attempts to treat the cutaneous manifestations of TMEP include PUVA, topical steroids, electron beam radiation, and 585-nm flashlamp-pumped dye laser. We report the first case of successful treatment of the cutaneous findings of TMEP with intense pulsed light (IPL). The patient underwent 2 treatments with IPL spaced 3 months apart, and remained entirely clear at 14 months follow-up.
Highlights
Telangiectasia macularis eruptiva perstans (TMEP) is a rare adult mastocytosis with prominent cutaneous manifestations including red to brown telangiectatic macules typically on the chest or limbs
Various approaches have been used to treat the cutaneous manifestations of TMEP including Psoralen plus ultraviolet light A (PUVA), topical corticosteroids, electron beam radiation and the 585-nm flashlamppumped dye laser.[2,5,6,7]
We present the case of a patient with TMEP and the associated characteristic cutaneous manifestations who was successfully treated with intense pulsed light (IPL)
Summary
Treatment of Telangiectasia Macularis Eruptiva Perstans with an Intense Pulsed Light Device. Ibrahim MD PhDa,c aDepartment of Dermatology, University of Rochester Medical Center, Rochester, NY bDepartment of Dermatology, Sutter North Advanced Dermatology and Laser Center, Yuba City, CA cDepartment of Oncology, University of Rochester Medical Center, Rochester, NY
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