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A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1



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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

636
A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Schneiderman page 600-722.qxd 5/16/2006 6:51 PM Page 636


Coats’ disease – cutaneous telangiectasia or unilateral macular
telangiectatic nevus with retinal telangiectasia 
AD 108:413–415,
1973
Cockayne’s syndrome – autosomal recessive; short stature,
facial erythema in butterfly distribution leading to mottled
pigmentation and atrophic scars, premature aged appearance
with loss of subcutaneous fat and sunken eyes, canities, mental
deficiency, photosensitivity, disproportionately large hands, feet,
and ears, ocular defects, demyelination 
J Med Genet
18:288–293, 1981
Congenital hemangioma of eccrine sweat glands 
Ped Derm
10:341–343, 1993
Congenital neuroangiopathies
Congenital poikiloderma
Cutis marmorata telangiectatica congenita – telangiecatasias
may be prominent at birth 
BJD 137:119–122, 1997;
JAAD 20:1098–1104, 1989; AD 118:895–899, 1982
Diffuse neonatal hemangiomatosis
Dyskeratosis congenita 
JAAD 6:1034–1039, 1982
Essential progressive telangiectasia
Fabry’s disease – linear perioral telangiectasia 
AD
126:1544–1545, 1990; telangiectasis of axillae and upper chest
JAAD 46:161–183, 2002
Fanconi’s anemia
Fucosidosis 
J Pediatr 84:727–780, 1974; with angiokeratoma
corporis diffusum on telangiectatic background 
Genital Skin
Disorders, Fischer and Margesson, CV Mosby p.198, 1998
Generalized essential telangiectasia – familial or acquired 
Cutis
75:223–224, 2005; Rook p.2096, 1998, Sixth Edition; JAAD
37:321–325, 1997; JAMA 185:909–913, 1963
Gingival and labial telangiectasia 
Syndromes of the Head and
Neck, p.119, 1990
Goltz’s syndrome
Hallermann–Streiff syndrome
Hemochromatosis – spider telangiectasias 
AD 113:161–165,
1977; Medicine 34:381–430, 1955
Hereditary acrolabial telangiectasia – blue lips, blue nails,
blue nipples, telangiectasia of the chest, elbows, knees, feet,
dorsa of hands, varicosities of the legs, migraine headaches
AD 115:474–478, 1979
Hereditary benign telangiectasia – autosomal dominant; lips,
neck, trunk, arms, hands, and knees 
Ped Derm 6:194–197,
1989; Trans St John’s Hosp Dermatol Soc 57:148–156, 1971
Hereditary hemorrhagic telangiectasia (Osler–Weber–Rendu
disease) 
Rook p.2091, 1998, Sixth Edition; Am J Med
82:989–997, 1987; gingival, oral telangiectasia Oral Surg
66:440–444, 1988
Homocystinuria
I-cell disease (mucolipidosis II) – puffy eyelids; small orbits,
prominent eyes, fullness of lower cheeks; small telangiectasias;
fish-mouth appearance, short neck; gingival hypertrophy
Textbook of Neonatal Dermatology, p.446, 2001; Clin Genet
23:155–159, 1983; Am J Med Genet 9:239–253, 1981; Birth
Defects 5:174–185, 1969
Incontinentia pigmenti – linear and macular telangiectasias
Dermatol Wochenschr 153:489–496, 1967
Klinefelter variants – macular telangiectatic vascular nevi 
J Urol
119:103–106, 1978
Klippel–Trenaunay–Weber syndrome 
Syndromes of the Head
and Neck, p.380, 1990
Lethal multiple pterygium syndrome – mid-facial macular
telangiectatic nevi 
Am J Med Genet 12:377–409, 1982
Linear telangiectatic erythema and mild atrophoderma 
Cutis
39:69–70, 1987
Maffucci’s syndrome
Morquio’s syndrome 
Rook p.2625, 1998, Sixth Edition
Multiple endocrine neoplasia syndrome (MEN I) –
telangiectasias on face and lips 
AD 133:853–857, 1997
Non-involuting congenital hemangioma (NICH) – warm high-flow
lesion with coarse telangiectasias over surface; less commonly
ulcerated 
Plast Reconstr Surg 107:1647–1654, 2001
Nevus araneus (spider telangiectasia) 
Nevus flammeus
Odonto-onycho-dermal dysplasia – telangiectatic atrophic patches
of face, sparse hair, conical teeth, hyperkeratosis of palms and
soles, dystrophic nails 
Am J Med Genet 14:335–346, 1983
Pre-auricular skin defects 
AD 133:1551–1554, 1997
Prolidase deficiency – autosomal recessive; skin spongy and
fragile with annular pitting and scarring; leg ulcers;
photosensitivity, telangiectasia, purpura, premature graying,
lymphedema 
Ped Derm 13:58–60, 1996; JAAD 29:819–821,
1993; AD 127:124–125, 1991; AD 123:493–497, 1987
Rapidly involuting congenital hemangioma (RICH) – palpable
tumor with pale rim, coarse overlying telangiectasia with central
depression or ulcer;
Ped Dev Pathol 6:495–510, 2003; Ped
Derm 19:5–11, 2002
Rombo syndrome – acral erythema, cyanotic redness, follicular
atrophy (atrophoderma vermiculata), milia-like papules,
telangiectasias, red ears with telangiectasia, thin eyebrows,
sparse beard hair, basal cell carcinomas, short stature 
BJD
144:1215–1218, 2001
Rothmund–Thomson syndrome (poikiloderma congenitale) –
autosomal recessive 
Am J Med Genet 22:102:11–17, 2001; Ped
Derm 18:210212, 2001; Ped Derm 16:59–61, 1999; Dermatol
Clin 13:143–150, 1995; JAAD 27:75–762, 1992
Schinzel–Giedion syndrome – autosomal recessive; ectodermal
dysplasia; midface retraction, hirsutism, telangiectasias of nose
and cheeks, skeletal anomalies, mental retardation 
Hum Genet
62:382, 1982; Am J Med Genet 1:361–375, 1978
Short arm 4 deletion syndrome – macular telangiectatic
vascular nevi 
Am J Dis Child 122:421–425, 1971
Sturge–Weber syndrome
Telangiectasias, spondyloepiphyseal dysplasia, hypothyroidism,
neovascularization, and tractional retinal detachments 
Ped
Derm 6:178–184, 1989
Trichothiodystrophy syndromes – BIDS, IBIDS, PIBIDS –
telangiectasias, sparse or absent eyelashes and eyebrows,
brittle hair, premature aging, sexual immaturity, ichthyosis,
dysmyelination, bird-like facies, dental caries;
trichothiodystrophy with ichthyosis, urologic malformations,
hypercalciuria and mental and physical retardation
JAAD 44:891–920, 2001; Ped Derm 14:441–445, 1997
Unilateral nevoid telangiectasia 
Rook p.2091, 1998,
Sixth Edition
Vascular malformations, congenital
Vascular nevi 
Rook p.2091, 1998, Sixth Edition
Von Hippel–Lindau disease – macular telangiectatic nevi,
facial or occipitocervical; retinal angiomatosis, cerebellar or
medullary or spinal hemangioblastoma, renal cell carcinoma.
Pheochromocytoma, café au lait macules 
Arch Intern Med
136:769–777, 1976
Werner’s syndrome
Wyburn–Mason (Bonnet–Duchaume–Blanc) syndrome –
unilateral salmon patch with punctate telangiectasias or port
wine stain; unilateral retinal arteriovenous malformation,

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