Case Number : Case 2998 - 3 January 2022 Posted By: Dr. Mona Abdel-Halim

telangiectasia.-

CREST variant of scleroderma

Agree with telangiectasia. 

However, not possible to say whether it is part of the CREST syndrome without knowing the rest of the clinical details, as of course facial telangiectasiae are common to both systemic sclerosis and the CREST variant.

Could be topical corticosteroid-induced telangiectasia as well!

Why not a multiple lesion presentation of hobnail hemangioma?

Histologically there is telangiectasia. Needs CPC as to what type of facial rash. Otherwise telangiectasia especially on face and hands are common in systemic sclerosis.

On 05/01/2022 at 14:58, Anil Patki said:

Could be topical corticosteroid-induced telangiectasia as well!

I think the size of the dilated vessels is more in keeping with disease-associated telangiectasia than steroid-induced.

Thank you all.

By clinicopathological correlation, this was diagnosed as matted telangiectasia of systemic sclerosis.