Poikilodermahttps://en.wikipedia.org/wiki/Poikiloderma
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References Diagnosis and Differential Diagnosis of Poikiloderma of Civatte: A Dermoscopy Cohort Study 36892344 NIH
Poikiloderma of Civatte Conditio cutis communis est quae maxime in cervice et facie apparet, praesertim in albae, feminae postmenopausali. Miscere lineas rubras, maculas nigras et tenuem cutem ostendit. Typice afficit areas soli expositas, sicut faciem, collum, et pectus, non autem locis umbrosis. Poikiloderma of Civatte generari potest secundum praecipuas lineas: ruborem, maculas nigras vel mixturam utriusque. Causa exacta non plene comprehenditur, sed factores sicut solis nuditates, mutationes hormonales, reactiones ad unguentorum vel fucorum, et senescit partes agere putantur. Poikiloderma of Civatte Peior in tempus tardius tendit.
Poikiloderma of Civatte (PC) is a rather common benign dermatosis of the neck and face, mainly affecting fair-skinned individuals, especially postmenopausal females. It is characterized by a combination of a reticular pattern of linear telangiectasia, mottled hyperpigmentation and superficial atrophy. Clinically, it involves symmetrically sun-exposed areas of the face, the neck, and the V-shaped area of the chest, invariably sparing the anatomically shaded areas. Depending on the prevalent clinical feature, PC can be classified into erythemato-telangiectatic, pigmented, and mixed clinical types. The etiopathogenesis of PC is incompletely understood. Exposure to ultraviolet radiation, hormonal changes of menopause, contact sensitization to perfumes and cosmetics, and normal ageing have been incriminated. The diagnosis is usually clinical and can be confirmed by histology, which is characteristic, but not pathognomonic. The course is slowly progressive and irreversible, often causing significant cosmetic disfigurement.