Locations Main Campus: Chesterfield, MO 63017   |   Locations
314-434-1500 314-434-1500   |   Contact Us

Multimedia Encyclopedia


 
E-mail Form
Email Results

 
 
Print-Friendly
Bookmarks
bookmarks-menu

Telangiectasia

Vascular ectasias; Spider veins

 

Telangiectasias are small, widened blood vessels on the skin. They are usually harmless, but may be associated with several diseases.

Causes

 

Telangiectasias may develop anywhere within the body. But they are most easily seen on the skin, mucous membranes, and whites of the eyes. Usually, they do not cause symptoms. Some telangiectasias bleed and cause significant problems. Telangiectasias may also occur in the brain and cause major problems from bleeding.

Causes may include:

  • Rosacea
  • Aging
  • Genetics
  • Pregnancy
  • Sun exposure
  • Varicose veins

Diseases associated with this condition include:

  • Ataxia - telangiectasia
  • Bloom syndrome
  • Cutis marmorata telangiectatica congenita
  • Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome)
  • Klippel-Trenaunay-Weber syndrome
  • Nevus flammeus such as port-wine stain
  • Rosacea
  • Spider angioma
  • Sturge-Weber disease
  • Xeroderma pigmentosa

 

When to Contact a Medical Professional

 

Call your health care provider if you notice enlarged vessels in the skin, mucous membranes, or eyes.

 

What to Expect at Your Office Visit

 

The provider will perform a physical exam and ask about your symptoms, including:

  • Where are the blood vessels located?
  • Do they bleed easily and without reason?
  • What other symptoms are present?

Tests may be needed to diagnose or rule out a medical condition. Tests may include:

  • Blood tests
  • CT scans
  • Liver function studies
  • MRI scans
  • X-rays

Sclerotherapy is the treatment for telangectasias on the legs. In this procedure, a saline (salt) solution or other chemical is injected directly into the spider veins on the legs. Laser treatment is typically used to treat telangiectasias of the face.

 

 

References

James WD, Berger TG, Elston DM. Cutaneous vascular diseases. In: James WD, Berger TG, Elston DM, eds. Andrews' Diseases of the Skin: Clinical Dermatology . 11th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 35.

Kelly R, Baker C. Other vascular disorders. In: Bolognia JL, Jorizzo JL, Schaffer JV, eds. Dermatology . 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 106.

 
  • Angioma serpiginosum - illustration

    Angioma serpiginosum appears most frequently in adolescent females and consists of small, superficial telangiectasias (vascular lesions) in the skin.

    Angioma serpiginosum

    illustration

  • Telangiectasia - legs - illustration

    Essential telangiectasia often appears over the lower extremities, beginning in adolescence, and continuing throughout adult life.

    Telangiectasia - legs

    illustration

  • Telangiectasias - upper arm - illustration

    Telangiectasias of the skin occur in multiple conditions. Thin skin secondary to long-term steroid use or aging, collagen vascular disease, and hormonal variation (particularly estrogen) are all implicated in the formation of telangiectasias.

    Telangiectasias - upper arm

    illustration

    • Angioma serpiginosum - illustration

      Angioma serpiginosum appears most frequently in adolescent females and consists of small, superficial telangiectasias (vascular lesions) in the skin.

      Angioma serpiginosum

      illustration

    • Telangiectasia - legs - illustration

      Essential telangiectasia often appears over the lower extremities, beginning in adolescence, and continuing throughout adult life.

      Telangiectasia - legs

      illustration

    • Telangiectasias - upper arm - illustration

      Telangiectasias of the skin occur in multiple conditions. Thin skin secondary to long-term steroid use or aging, collagen vascular disease, and hormonal variation (particularly estrogen) are all implicated in the formation of telangiectasias.

      Telangiectasias - upper arm

      illustration


     

    Review Date: 4/14/2015

    Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

     
     
     

     

     

    A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.



    Content is best viewed in IE9 or above, Firefox and Google Chrome browser.