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

Main Article Content

William H Sipprell III
Harjot S Maan
Sherrif F Ibrahim

Keywords

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

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. 

References

1. Nguyen NQ. Telangiectasia macularis eruptiva perstans. Dermatol Online J. 2004;10(3):1. Retrieved from: http://escholarship.org/uc/item/0gp977bv Accessed March 18, 2017

2. Ellis DL. Treatment of telangiectasia macularis eruptiva perstans with the 585-nm flashlamp-pumped dye laser. Dermatol Surg. 1996;22(1):33-37.

3. Marrouche N, Grattan C. TMEP or not TMEP: That is the question. J Am Acad Dermatol. 2014;70(3):581-582.

4. Costa DL, Moura HH, Rodrigues R et al. Telangiectasia macularis eruptiva perstans: a rare form of adult mastocytosis. J Clin Aesthet Dermatol. 2011;4(10):52-54.

5. Sarkany RP, Monk BE, Handfield-Jones SE. Telangiectasia macularis eruptiva perstans: a case report and review of the literature. Clin Exp Dermatol. 1998;23(1):38-39.

6. Monahan TP, Petropolis AA. Treatment of telangiectasia macularis eruptiva perstans with total skin electron beam radiation. Cutis. 2003;71(5):357-359.

7. Sotiriou E, Apalla Z, Ioannides D. Telangiectasia macularis eruptive perstans successfully treated with PUVA therapy. Photodermatol Photoimmunol Photomed. 2010;26(1):46-47.