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    56 results match your criteria Poikiloderma of Civatte

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    Confetti-like Sparing: A Diagnostic Clinical Feature of Melasma.
    J Clin Aesthet Dermatol 2016 Feb;9(2):48-57
    Goldman, Butterwick, Fitzpatrick, Groff and Fabi: Cosmetic Laser Dermatology, San Diego, California.
    Diagnostic uncertainty when a patient presents with melasma-like Undings can lead to suboptimal treatment and inaccurate prognostic expectations. In this study, the authors present a unique clinical feature of melasma that they term the "Fitzpatrick macule" and test its Utility in establishing diagnostic certainty. The "Fitzpatrick macule" is a confetti-like macule of regularly pigmented skin located within a larger patch of melasma hyperpigmentation. Read More

    The possible role of contact sensitization to fragrances and preservatives in poikiloderma of civatte.
    Case Rep Dermatol 2014 Sep 14;6(3):258-63. Epub 2014 Nov 14.
    Division of Dermatology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
    Numerous mechanisms have been postulated to play an important role in the pathogenesis of poikiloderma of Civatte (PC), including chronic exposure to ultraviolet radiation, menopause-related hormonal changes, contact hypersensitivity and genetic predisposition. Herein, we report a case of contact sensitization to fragrances and commonly used preservatives, methylchloroisothiazolinone and methylisothiazolinone, also widely known as Kathon CG, in a post-menopausal woman with PC, who denied excessive sun exposure and a family history. After abstaining from the use of her personal care products containing the documented allergens, not only the itching and burning symptoms, but also the cutaneous changes appeared to improve partially. Read More

    Poikilodermatous changes on the forearms of a woman practicing aroma-therapy: extracervical poikiloderma of Civatte?
    An Bras Dermatol 2014 Jul-Aug;89(4):655-6
    "Attikon" General University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
    We report the case of a 48-year-old, Caucasian female who presented with slowly progressing asymptomatic poikilodermatous changes of the extensor aspects of the forearms. She also had typical Poikiloderma of Civatte on the V of the neck and erythemato-telangiectatic rosacea of the central face. The patient had been practicing aroma-therapy for many years. Read More

    Non-ablative fractionated laser skin resurfacing for the treatment of aged neck skin.
    J Dermatolog Treat 2015 Jun 9;26(3):252-6. Epub 2014 Jul 9.
    Istituto di Chirurgia e Laserchirurgia in Dermatologia , I.C.L.I.D., Milano , Italy .
    Background: Aging of the neck skin includes poikiloderma of Civatte, skin laxity and wrinkles. While the vascular alterations of poikiloderma of Civatte can be effectively treated with lasers or intense pulsed light, a successful treatment of dyschromia, skin laxity and wrinkles is still difficult to achieve.

    Objective: To evaluate the safety and efficacy of non-ablative fractional 1540 erbium glass laser for the treatment of aged neck skin, also by means of in vivo reflectance confocal microscopy (RCM). Read More

    Acquired hyperpigmentations.
    An Bras Dermatol 2014 Jan-Feb;89(1):11-25
    Rio Grande do Sul Federal University, Child and Adolescent Health Sciences Post Graduation Program, Porto AlegreRS, Brazil, MD, Dermatologist, PhD (in course) at the Child and Adolescent Health Sciences Post Graduation Program at Rio Grande do Sul Federal University (UFRGS) - Porto Alegre (RS), Brazil.
    Cutaneous hyperpigmentations are frequent complaints, motivating around 8.5% of all dermatological consultations in our country. They can be congenital, with different patterns of inheritance, or acquired in consequence of skin problems, systemic diseases or secondary to environmental factors. Read More

    Application of intense pulsed light in the treatment of dermatologic disease: a systematic review.
    Dermatol Surg 2014 Apr 4;40(4):359-77. Epub 2014 Feb 4.
    Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
    Background: The Food and Drug Administration (FDA) has approved intense pulsed light (IPL) devices for the treatment of a variety of benign pigmentary and vascular lesions, but the range of disease amenable to IPL treatment continues to expand, and there are no evidence-based clinical guidelines for its use in FDA-approved and off-label indications.

    Objective: To provide evidence-based recommendations to guide physicians in the application of IPL for the treatment of dermatologic disease.

    Evidence Review: A literature search of the CENTRAL (1991 to May 6, 2013), EMBASE (1974 to May 6, 2013), and MEDLINE in-process and nonindexed citations and MEDLINE (1964 to present) databases was conducted. Read More

    Risk factors for squamous cell carcinoma, a study by the National Dermatology Centre of Colombia.
    Actas Dermosifiliogr 2013 Oct 20;104(8):672-8. Epub 2013 Aug 20.
    Centro Dermatológico Federico Lleras Acosta, E.S.E, Bogotá D.C., Colombia. Electronic address:
    Introduction: Nonmelanoma skin cancer is the most common malignancy in white individuals. The risk factors for squamous cell carcinoma, which belongs to the family of nonmelanoma skin cancers, have not been studied in Colombia.

    Objective: To determine the risk factors for squamous cell carcinoma in patients at a national referral center for skin diseases in Colombia. Read More

    Acquired poikiloderma: proposed classification and diagnostic approach.
    J Am Acad Dermatol 2013 Sep 28;69(3):e129-40. Epub 2012 Jul 28.
    Dermatology and Venereology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
    "Poikiloderma" is a morphologic and descriptive term referring to a combination of cutaneous atrophy, telangiectasia, and varied macular pigmentary changes that result in a mottled skin appearance. Its etiology includes both congenital and acquired causes. Many studies have reported different causes of acquired poikiloderma; however, no single well-defined classification has been explored to date. Read More

    Histopathologic changes induced by intense pulsed light in the treatment of poikiloderma of Civatte.
    Dermatol Surg 2012 Jul 27;38(7 Pt 1):1010-6. Epub 2012 Apr 27.
    Department of Dermatology, Federal University of São Paulo, São Paulo, Brazil.
    Background: The clinical efficacy of intense pulsed light (IPL) in the treatment of poikiloderma of Civatte (PC) is well documented, but little is known about microscopic changes.

    Objective: To analyze histopathologic findings on the necks of individuals with PC after IPL therapy.

    Materials And Methods: Fourteen patients with PC on the neck underwent three monthly sessions of IPL. Read More

    Acquired brachial cutaneous dyschromatosis.
    Dermatol Online J 2011 Oct 15;17(10):16. Epub 2011 Oct 15.
    Department of Dermatology, New York University, New York, New York, USA.
    Acquired brachial cutaneous dyschromatosis (ABCD) is a newly described disorder of pigmentary change that occurs on the dorsal aspects of the forearms in post-menopausal women. We report a case of a 62-year-old woman who developed an asymptomatic, reticulated, gray-brown eruption on the dorsal aspects of the forearms of gradual onset that is clinically and histopathologically consistent with ABCD. Whereas the original report found an association between hypertension and/or the use of anti-hypertensive medications in the original cohort, we propose that this entity may, in fact, be associated more closely with cumulative sun damage and may be related to such acquired disorders of the skin as poikiloderma of Civatte. Read More

    Facial melanoses: Indian perspective.
    Indian J Dermatol Venereol Leprol 2011 Sep-Oct;77(5):552-63; quiz 564
    Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.
    Facial melanoses (FM) are a common presentation in Indian patients, causing cosmetic disfigurement with considerable psychological impact. Some of the well defined causes of FM include melasma, Riehl's melanosis, Lichen planus pigmentosus, erythema dyschromicum perstans (EDP), erythrosis, and poikiloderma of Civatte. But there is considerable overlap in features amongst the clinical entities. Read More

    Review of the literature: Treatment of dyspigmentation with fractionated resurfacing.
    Dermatol Surg 2010 Oct;36(10):1499-508
    Laser and Skin Surgery Center of Indiana, Carmel, Indiana, USA.
    Background: Traditional ablative laser resurfacing is associated with adverse side effects, including prolonged erythema, edema, burning, milia, acne, crusting, and hypo- and hyperpigmentation. Fractional photothermolysis (FP) has been introduced to overcome the disadvantages of traditional ablative and nonablative resurfacing. With FP, the microscopic, pixilated pattern of wounding in the dermis results in significant skin pigmentary and textural improvements without the adverse effects of prolonged wound healing and risks of dyspigmentation associated with traditional ablative resurfacing. Read More

    Intense pulsed light in the treatment of non-aesthetic facial and neck vascular lesions: report of 85 cases.
    J Eur Acad Dermatol Venereol 2011 Jan;25(1):68-73
    Department of Dermatology II, University of Florence, Florence, Italy.
    Background: Intense pulsed light (IPL) treatment is one of the most effective procedures for patients with non-aesthetic vascular lesions in addition to signs of skin photoageing, and it has been reported as very successful in the treatment of telangiectasias, spider nevi, erythrosis, and above all, rosacea and poikiloderma. Its use is based on the principle of selective photothermolysis, which exploits the haemoglobin absorption peak among its range of wavelengths.

    Objective: The aim of this study is to assess the efficacy and safety of intense pulsed light in treating non-aesthetic vascular skin lesions, especially with regard to poikiloderma of Civatte and rosacea. Read More

    Review of fractional photothermolysis: treatment indications and efficacy.
    Dermatol Surg 2009 Oct 20;35(10):1445-61. Epub 2009 Jul 20.
    Laser and Skin Surgery Center of Indiana, Carmel, Indiana 46032, USA.
    Background: Fractional photothermolysis (FP) is one of the most significant milestones in laser technology and resurfacing.

    Methods: Review of the Medline English literature and recent international conferences regarding FP technology, applications, and indications.

    Results: Successful conditions treated with nonablative FP reported in the literature include acne scarring; dyschromia and fine wrinkling of photoaging on the face, chest, neck, and hands; melasma; poikiloderma of Civatte; nevus of Ota; scars; minocycline hyperpigmentation; telangiectatic matting; residual hemangioma; granuloma annulare; colloid milium; and disseminated superficial actinic porokeratosis. Read More

    [What's new in aesthetic dermatology: filler and laser treatments].
    Ann Dermatol Venereol 2009 May;136 Suppl 4:S152-9
    Université Victor Segalen Bordeaux 2, 101, boulevard Wilson, 33200 Bordeaux.
    In esthetic dermatology, filling and laser treatments are two essential techniques. Several recent studies on calcium hydroxyapatite in filling treatments and facial volumetry, in esthetics, but also in HIV patients, have been published. It was also tested in accentuated melomental folds where it is superior to hyaluronic acid. Read More

    Treatment of Poikiloderma of Civatte with ablative fractional laser resurfacing: prospective study and review of the literature.
    J Drugs Dermatol 2009 Jun;8(6):527-34
    Laser and Skin Surgery Center of Indiana, Carmel, IN, USA.
    Background: Previous laser treatments for Poikiloderma of Civatte (PC) (i.e., Pulsed dye, Intense Pulsed Light, KTP and Argon) are limited by side effect profiles and/or efficacy. Read More

    Treatment of poikiloderma of Civatte using intense pulsed light source: 7 years of experience.
    Dermatol Surg 2008 Mar 19;34(3):314-9; discussion 319. Epub 2007 Dec 19.
    Department of Plastic and Reconstructive Surgery, University La Sapienza, Rome, Italy.
    Background And Objective: The treatment of choice of poikiloderma of Civatte should address both pigmented and vascular lesions at the same time. A broad-spectrum, noncoherent intense pulsed light (IPL) source can be used to obtain this effect. In this study, we investigated the clinical efficacy and side effects of treating this condition with IPL. Read More

    Poikiloderma of Civatte: a histopathological and ultrastructural study.
    Dermatology 2007 ;214(2):177-82
    2nd Department of Dermatology and Venereology, Attikon University General Hospital, Athens, Greece.
    Background: Poikiloderma of the face and neck (Civatte) has not been studied in depth for decades, especially as far as the histopathology is concerned.

    Material And Methods: We studied 50 consecutive patients with poikiloderma of Civatte (PC). Their evaluation included: history, physical examination, lesional skin biopsy and histological examination of sections stained with hematoxylin-eosin, PAS, Fontana-Masson, acid orcein Giemsa for elastic fibers and toluidine blue for mast cells. Read More

    Treatment of poikiloderma of Civatte with the pulsed dye laser: a series of patients with severe depigmentation.
    J Eur Acad Dermatol Venereol 2006 Nov;20(10):1248-51
    Department of Dermatology and Venereology, Academic Medical Center Amsterdam, Amsterdam, the Netherlands.
    Background: Pulsed dye laser (PDL) treatment is widely used for poikiloderma of Civatte. Some adverse events in small numbers of patients have been reported. Guidelines for treatment of poikiloderma of Civatte do not exist. Read More

    Fractional photothermolysis for treatment of poikiloderma of civatte.
    Dermatol Surg 2006 Feb;32(2):298-301
    DermSurgery Associates, Houston, TX, USA.
    Poikiloderma of Civatte refers to a change in the skin where there is atrophy, hyper- and hypopigmentation, and dilation of fine blood vessels (telangiectasia). These alterations often cause cosmetic disfigurement, most commonly in middle-aged or elderly women with a fair complexion. Several treatment modalities, based on the theory of selective photothermolysis, including argon lasers, KTP lasers, pulsed dye lasers, and intense pulsed light devices, have been used to treat this condition in the past. Read More

    Photoallergic contact sensitization to 6-methylcoumarin in poikiloderma of Civatte.
    Dermatitis 2005 Sep;16(3):136-8
    Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
    A 49-year-old woman presented with asymptomatic progressive erythema, hyperpigmentation, atrophy, and telangiectasia on her neck. The clinical appearance and histopathology of the skin lesion was consistent with poikiloderma of Civatte. Photopatch-testing with our standard photoallergens yielded a positive reaction to 6-methylcoumarin, which was found in the patient's perfume. Read More

    Poikiloderma of Civatte: a clinical and epidemiological study.
    J Eur Acad Dermatol Venereol 2005 Jul;19(4):444-8
    National Kapodistrian University of Athens, 2nd Department of Dermatology and Venereology, Attikon Hospital.
    Background: Although a common dermatosis, idiopathic poikiloderma of the face and neck has not been studied in depth for decades.

    Objectives: To reassess the clinical and epidemiological characteristics of poikiloderma of Civatte (PC).

    Material And Methods: Fifty consecutive patients with PC. Read More

    IPL technology: a review.
    Lasers Surg Med 2003 ;32(2):78-87
    Laserklinik Karlsruhe, Karlsruhe, Germany.
    Background And Objectives: Intense pulsed light (IPL) systems are high-intensity light sources, which emit polychromatic light. Unlike laser systems, these flashlamps work with noncoherent light in a broad wavelength spectrum of 515-1,200 nm. These properties allow for great variability in selecting individual treatment parameters and adapting to different types of skin types and indications. Read More

    Evaluation of the role of contact sensitization and photosensitivity in the pathogenesis of poikiloderma of Civatte.
    Br J Dermatol 2002 Sep;147(3):493-7
    National and Kapodistrian University of Athens, Department of Dermatology and Venereology, 'A. Sygros' Hospital, Athens, Greece.
    Background: Poikiloderma of the face and neck (Civatte) is a rather common, indolent, chronic dermatosis, most often affecting menopausal females. Cumulative excessive sun exposure, a phototoxic or a photoallergic reaction, hormonal changes of menopause and genetic factors have all been incriminated in its obscure aetiopathogenesis.

    Objective: To evaluate the role of contact sensitization and photosensitivity in the pathogenesis of poikiloderma of Civatte (PC). Read More

    Management of facial hyperpigmentation.
    Am J Clin Dermatol 2000 Sep-Oct;1(5):261-8
    Department of Dermatology, Faculty of Medicine, Virgen Macarena Hospital, Seville, Spain.
    Facial and neck pigmentations are the most cosmetically important. They are common in middle-aged women, and are related to endogenous (hormones) and exogenous factors (such as use of cosmetics and perfumes, and exposure to sun radiation). Melasma (chloasma) is the most common cause of facial pigmentation, but there are many other forms such as Riehl's melanosis, poikiloderma of Civatte, erythrose peribuccale pigmentaire of Brocq, erythromelanosis follicularis of the face and neck, linea fusca, and cosmetic hyperpigmentations. Read More

    Treatment of poikiloderma of Civatte with the pulsed dye laser: a series of seven cases.
    J Cutan Laser Ther 1999 Jan;1(1):45-8
    Bedford Laser Treatment Centre, Bedford Hospital, South Wing, Kempston Road, Bedford MK42 9DJ, UK.
    Seven patients with poikiloderma of Civatte were treated successfully with the pulsed dye laser. One patient's treatment was complicated by scarring, which appeared 4 months after the treatment. Read More

    Treatment of poikiloderma of Civatte on the neck with an intense pulsed light source.
    Plast Reconstr Surg 2001 May;107(6):1376-81
    Division of Dermatology, Department of Medicine/Dermatology, University of California, San Diego, USA.
    Effective treatment of poikiloderma of Civatte is difficult. The ideal treatment combines elimination of both the vascular and pigmented components simultaneously. Treatment with a broad-spectrum noncoherent intense pulsed light source delivers multiple wavelengths with software-controlled pulse durations and sequencing that permit treatment of both vascular and pigmented lesions simultaneously. Read More

    Treatment of poikiloderma of Civatte with an intense pulsed light source.
    Dermatol Surg 2000 Sep;26(9):823-7; discussion 828
    Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
    Background: Effective treatment of poikiloderma of Civatte combines elimination of both the vascular and pigmented components simultaneously. A broad spectrum, noncoherent, intense pulsed light (IPL) source delivers multiple wavelengths with software controlled pulse durations and sequencing, which permits treatment of both vascular and pigmented lesions simultaneously.

    Objective: To determine response and side effects of poikiloderma of Civatte of the neck and chest when treated by IPL. Read More

    Familial cases of poikiloderma of Civatte: genetic implications in its pathogenesis?
    Clin Exp Dermatol 1999 Sep;24(5):385-7
    Department of Dermatology and Venereology, National University of Athens, A. Sygros Hospital, Athens, Greece.
    Poikiloderma of Civatte (PC) is a rather common, benign skin condition of obscure etiopathogenesis: cumulative exposure to UV radiation, hormonal changes associated with the menopause, and photo-allergic mechanisms have been implicated. We present seven cases of PC among the members of two unrelated Greek families, who have not shared common extrinsic influences. Literature review revealed no other reported familial cases. Read More

    Reticulate, patchy and mottled pigmentation of the neck. Acquired forms.
    Dermatology 1998 ;197(3):291-6
    Outpatient Clinic of Dermatology, Triemli Hospital, Zurich, Switzerland.
    Besides the inherited forms of mottled and reticulate pigmentation, a vast number of diseases and trigger mechanisms can lead to acquired pigmentation of the neck. Nonhereditary variants of reticulate and mottled pigmentation can affect the neck as a typical site and therefore may give a diagnostic clue or it can occur sporadically on the neck as well as on other sites. A well-known and important factor in the pathogenesis is exposure to sunlight. Read More

    [Treatment possibilities with a high-energy pulsed light source (PhotoDerm VL)].
    Hautarzt 1997 Dec;48(12):886-93
    Praxis für Dermatologie, Phlebologie und Allergologie, Akademisches Krankenhaus Maastricht.
    By varying the light spectrum, impulse length, impulse sequences and fluences, the PhotoDerm VL allows a large choice of individual treatment parameters. Superficial as well as deeper localized vascular malformations (essential telangiectases, port-wine stains, Poikiloderma of Civatte, hemangiomatous malformations) and cosmetically bothering hypertrichosis can be treated successfully with this high intensity polychromatic pulsed light source. Read More

    Treatment of essential telangiectasias with an intense pulsed light source (PhotoDerm VL)
    Dermatol Surg 1997 Oct;23(10):941-5; discussion 945-6
    Center for Dermatologic Laser Therapy, Karlsruhe, Germany.
    Background: The flashlamp-pumped pulsed dye laser (585 and 577 nm) has proven to be a very effective and safe treatment option in the therapy of essential telangiectasias (ETE). Nevertheless, the postoperative intracutaneous hematomata, which most patients see as cosmetically disfiguring, always has been a matter of concern.

    Objective: To test the efficacy and safety of a new, large spot size, intense pulsed light source, the PhotoDerm VL, which omits noncoherent light adjustable within the 515-1200-nm range, in the treatment of ETE. Read More

    Laser treatment of acquired vascular lesions.
    Dermatol Clin 1997 Jul;15(3):385-96
    Department of Dermatology, New York University Medical Center, New York, USA.
    Several quasi-continuous wave and pulsed lasers can effectively treat a variety of vascular lesions. The PDL follows the theory of selective photothermolysis, is safe for infants and children, and has a low incidence of side effects. It is successful in treating telangiectasias, spider and cherry angiomas, pyogenic granulomas, venous lakes, and poikiloderma of Civatte, as well as small leg telangiectasias. Read More

    Flashlamp-pumped pulsed dye laser therapy for poikiloderma of Civatte.
    J Dermatol Surg Oncol 1990 Jan;16(1):12-6
    Department of Dermatology, University of California, Davis 95816.
    The use of pulsed yellow light from a flash-lamp-pumped pulsed dye laser has provided a successful form of therapy to remove both the telangiectasias and irregular pigmentation associated with poikiloderma of Civatte. The short pulse duration and specificity of the interaction between yellow light and hemoglobin permit this technique to be performed on the thin skin of the neck without textural changes or scarring. Furthermore, use of the large beam diameter of this laser system allows for rapid treatment of large areas in a short period of time. Read More

    Work with video display terminals among office employees. V. Dermatologic factors.
    Scand J Work Environ Health 1985 Dec;11(6):489-93
    According to some reports, mainly from Norway, work with a video display terminal (VDT) has been suspected to cause skin rashes. In conjunction with an epidemiologic study of some 550 office employees, 74 persons, who complained of skin symptoms, were examined by occupational dermatologists. The objective was to see whether the findings from earlier reports could be confirmed, whether any type of rash could be suspected to depend on VDT work, and whether positive findings might be explained by means of physical data. Read More

    Benign skin changes associated with chronic sunlight exposure.
    Cutis 1984 Jul;34(1):33-8, 40
    Chronic and heavy sun exposure will insidiously induce changes in human skin during the course of many years. These changes include wrinkles, atrophy, cutis rhomboidalis nuchae, yellow papules and plaques of the face, colloid milium, telangiectasis, diffuse erythema, diffuse brown pigmentation, ecchymoses, freckles, actinic lentigo, nevi, Favre-Racouchot syndrome, poikiloderma of Civatte, actinic keratosis, basal cell carcinoma, squamous cell carcinoma, melanoma, actinic lichen planus, actinic reticuloid, porphyria cutanea tarda, and erythropoietic protoporphyria. In particular, we describe the clinical appearance of the benign changes caused by chronic sunlight exposure. Read More

    Berloque dermatitis - a continuing cosmetic problem.
    Contact Dermatitis 1981 Mar;7(2):111-6
    Despite the decline in the incidence of berloque dermatitis during the past decade, milder cases resulting from the presence of relatively small quantities of bergapten in perfumed cosmetics continue to occur. The resultant hyperpigmentation may have an atypical presentation leading to error in diagnosis. In addition, the condition can sometimes induce or aggravate melasma and may be responsible for other pigmentary disorders of the face and neck of questionable etiology such as poikiloderma of Civatte, Riehl's melanosis and pigmented peribuccal erythema of Brocq. Read More

    [The difference forms of "parapsoriasis en plaques". A report of 90 cases (author's transl)].
    Ann Dermatol Venereol 1977 Jan;104(1):18-25
    The term parapsoriasis was used by Brocq (1902) to group a number of conditions previously described under different names. This group has since then been modified, the same conditions being described under separate names and these have led to a great confusion especially between countries. In this study of 90 cases, three types of parapsoriasis en plaques are distinguished. Read More

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