Treatment of Telangiectasia Macularis Eruptiva Perstans with an Intense Pulsed Light Device

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William H Sipprell III
Harjot S Maan
Sherrif F Ibrahim


Telangiectasia macularis eruptiva perstans, telangiectasia, intense pulsed light, mastocytosis


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. 


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