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Spider telangiectasis of skin

MedGen UID:
88449
•Concept ID:
C0085666
•
Disease or Syndrome; Finding
Synonyms: Arterial spider; Arterial Spider; Arterial spider of skin; Nevus Araneus; Nevus araneus of skin; Spider angioma; Spider Angioma; Spider angioma of skin; Spider Nevus; Spider nevus; Spider nevus of skin; Spider telangiectasia; Spider Telangiectasia; Spider Telangiectasis; Stellar nevus of skin; Stellate Telangiectasis; Telangiectatic nevus; Telangiectatic Nevus; Vascular Spider
SNOMED CT: Telangiectatic nevus (195382003); Spider nevus (195382003); Arterial spider (195382003); Spider telangiectasia (195382003); Spider angioma (195382003); Spider nevus of skin (1197658008); Spider angioma of skin (1197658008); Nevus araneus of skin (1197658008); Spider telangiectasis of skin (1197658008); Stellar nevus of skin (1197658008); Arterial spider of skin (1197658008)

Definition

A type of telangiectasia comprising a central red spot with red, radiating extensions. [from NCI]

Professional guidelines

PubMed

Review of Malpractice Litigation in the Diagnosis and Treatment of Venous & Lymphatic Disease.
Choinski K, Sanon O, Sacknovitz Y, Ilonzo N, Ting W, Koleilat I, Phair J
Ann Vasc Surg 2023 Jan;88:274-282. Epub 2022 Aug 2 doi: 10.1016/j.avsg.2022.07.002. PMID: 35926792
Photodynamic Therapy Versus Glucose for the Treatment of Telangiectasia: A Randomised Controlled Study in a Rabbit Ear Model.
Buzzá HH, Holmo D Jr, Stringasci MD, Bertanha M, Leão PDS, Fabro AT, Silva NF Jr, Zangirolami AC, Bagnato VS, Yoshida WB
Eur J Vasc Endovasc Surg 2019 Oct;58(4):583-591. Epub 2019 Aug 29 doi: 10.1016/j.ejvs.2019.05.002. PMID: 31474494
Pulsed dye laser treatment of telangiectasia after radiotherapy for carcinoma of the breast.
Lanigan SW, Joannides T
Br J Dermatol 2003 Jan;148(1):77-9. doi: 10.1046/j.1365-2133.2003.04861.x. PMID: 12534598

Recent clinical studies

Etiology

Epidemiology of rosacea in a population-based study of 161,269 German employees.
Hilbring C, Augustin M, Kirsten N, Mohr N
Int J Dermatol 2022 May;61(5):570-576. Epub 2021 Dec 12 doi: 10.1111/ijd.15989. PMID: 34897653
Adjuvant radiofrequency thermocoagulation improves the outcome of liquid sclerotherapy in the treatment of spider veins of the leg: A pilot study.
Diken Aİ, Alemdaroğlu U, Özyalçın S, Hafez İ, Tünel HA, Yalçınkaya A, Ecevit AN
Phlebology 2021 Sep;36(8):620-626. Epub 2021 Apr 4 doi: 10.1177/02683555211006534. PMID: 33813962
Does dermatoscopy facilitate the detection and diagnosis of vascular skin lesions? A case-control study.
Chuh A, Zawar V, Sciallis G
J R Coll Physicians Edinb 2018 Sep;48(3):210-216. doi: 10.4997/JRCPE.2018.304. PMID: 30191908
Treatment of spider veins of the lower extremity with a novel 532 nm KTP laser.
Bernstein EF, Noyaner-Turley A, Renton B
Lasers Surg Med 2014 Feb;46(2):81-8. Epub 2013 Oct 11 doi: 10.1002/lsm.22178. PMID: 24127163
Cutis marmorata telangiectatica congenita: report of nine cases and review of the literature.
Powell ST, Su WP
Cutis 1984 Sep;34(3):305-12. PMID: 6386356

Diagnosis

Review of Malpractice Litigation in the Diagnosis and Treatment of Venous & Lymphatic Disease.
Choinski K, Sanon O, Sacknovitz Y, Ilonzo N, Ting W, Koleilat I, Phair J
Ann Vasc Surg 2023 Jan;88:274-282. Epub 2022 Aug 2 doi: 10.1016/j.avsg.2022.07.002. PMID: 35926792
Epidemiology of rosacea in a population-based study of 161,269 German employees.
Hilbring C, Augustin M, Kirsten N, Mohr N
Int J Dermatol 2022 May;61(5):570-576. Epub 2021 Dec 12 doi: 10.1111/ijd.15989. PMID: 34897653
The dual 980-nm and 1470-nm diode laser for vascular lesions.
Wollina U, Goldman A
Dermatol Ther 2020 Jul;33(4):e13558. Epub 2020 May 25 doi: 10.1111/dth.13558. PMID: 32390286
Does dermatoscopy facilitate the detection and diagnosis of vascular skin lesions? A case-control study.
Chuh A, Zawar V, Sciallis G
J R Coll Physicians Edinb 2018 Sep;48(3):210-216. doi: 10.4997/JRCPE.2018.304. PMID: 30191908
Blood vessel changes during pregnancy: a review.
Henry F, Quatresooz P, Valverde-Lopez JC, Piérard GE
Am J Clin Dermatol 2006;7(1):65-9. doi: 10.2165/00128071-200607010-00006. PMID: 16489843

Therapy

Ado-trastuzumab emtansine associated spider telangiectasia.
Gursoy P, Acar A, Acikalin T
J Oncol Pharm Pract 2022 Jun;28(4):986-988. Epub 2022 Jan 18 doi: 10.1177/10781552211073878. PMID: 35040682
Skin vascular lesions: A new therapeutic option with sequential laser-assisted technique.
Zerbinati N, Protasoni M, D'Este E, Mocchi R, Coricciati L, Rauso R, Sbano P, Greco M, Rodighiero E, Satolli F
Dermatol Ther 2021 Jan;34(1):e14573. Epub 2020 Dec 7 doi: 10.1111/dth.14573. PMID: 33222349
The efficacy of a single-session pro-yellow laser in the treatment of facial telangiectasia.
Turkmen D, Altunisik N, Sener S
Lasers Med Sci 2021 Mar;36(2):401-406. Epub 2020 Jun 26 doi: 10.1007/s10103-020-03082-3. PMID: 32592131
A Novel Approach for the Treatment of Spider Veins.
Mujadzic M, Ritter EF, Given KS
Aesthet Surg J 2015 Sep;35(7):NP221-9. Epub 2015 Aug 4 doi: 10.1093/asj/sjv004. PMID: 26246022Free PMC Article
Laser vein therapy.
Kulkin JM, Flash S
Obstet Gynecol Clin North Am 2010 Dec;37(4):501-6, vii. doi: 10.1016/j.ogc.2010.09.001. PMID: 21093745

Prognosis

Ado-trastuzumab emtansine associated spider telangiectasia.
Gursoy P, Acar A, Acikalin T
J Oncol Pharm Pract 2022 Jun;28(4):986-988. Epub 2022 Jan 18 doi: 10.1177/10781552211073878. PMID: 35040682
Treatment of spider veins of the lower extremity with a novel 532 nm KTP laser.
Bernstein EF, Noyaner-Turley A, Renton B
Lasers Surg Med 2014 Feb;46(2):81-8. Epub 2013 Oct 11 doi: 10.1002/lsm.22178. PMID: 24127163
Treatment of superficial cutaneous vascular lesions: experience with the long-pulsed 1064 nm Nd:YAG laser.
Ozyurt K, Colgecen E, Baykan H, Ozturk P, Ozkose M
ScientificWorldJournal 2012;2012:197139. Epub 2012 Sep 17 doi: 10.1100/2012/197139. PMID: 23028248Free PMC Article
Studies in long-pulsed potassium tritanyl phosphate laser for the treatment of spider naevi and perialar telangiectasia.
Goodman GJ, Roberts S, Bezborodoff A
Australas J Dermatol 2002 Feb;43(1):9-14. doi: 10.1046/j.1440-0960.2002.00555.x. PMID: 11869201
An evaluation of the copper-bromide laser for treating telangiectasia.
McCoy S, Hanna M, Anderson P, McLennan G, Repacholi M
Dermatol Surg 1996 Jun;22(6):551-7. doi: 10.1111/j.1524-4725.1996.tb00373.x. PMID: 8646471

Clinical prediction guides

How efficient is laser therapy for telangiectasias, spider veins, and cherry angiomas?-A study using dynamic optical coherence tomography.
Harst K, Welzel J, Schuh S
Lasers Surg Med 2023 Sep;55(7):625-635. Epub 2023 Jun 2 doi: 10.1002/lsm.23676. PMID: 37264994
Ado-trastuzumab emtansine associated spider telangiectasia.
Gursoy P, Acar A, Acikalin T
J Oncol Pharm Pract 2022 Jun;28(4):986-988. Epub 2022 Jan 18 doi: 10.1177/10781552211073878. PMID: 35040682
Adjuvant radiofrequency thermocoagulation improves the outcome of liquid sclerotherapy in the treatment of spider veins of the leg: A pilot study.
Diken Aİ, Alemdaroğlu U, Özyalçın S, Hafez İ, Tünel HA, Yalçınkaya A, Ecevit AN
Phlebology 2021 Sep;36(8):620-626. Epub 2021 Apr 4 doi: 10.1177/02683555211006534. PMID: 33813962
Treatment of spider veins of the lower extremity with a novel 532 nm KTP laser.
Bernstein EF, Noyaner-Turley A, Renton B
Lasers Surg Med 2014 Feb;46(2):81-8. Epub 2013 Oct 11 doi: 10.1002/lsm.22178. PMID: 24127163
Optimal and safe treatment of spider leg veins measuring less than 1.5 mm on skin type IV patients, using repeated low-fluence Nd:YAG laser pulses after polidocanol injection.
Moreno-Moraga J, Hernández E, Royo J, Alcolea J, Isarría MJ, Pascu ML, Smarandache A, Trelles M
Lasers Med Sci 2013 May;28(3):925-33. Epub 2012 Aug 11 doi: 10.1007/s10103-012-1180-6. PMID: 22886138

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