Telangiectasia

Fixed dilation of small capillaries and other larger vessels that do not have an inflammatory genesis is called telangiectasia in medicine. A fine mesh or individual red spots appear on the human skin, causing more aesthetic than physical discomfort.

Causes telangiectasias

There is a common belief that the main catalyst for the pathology discussed in this article is a disorder in the cardiovascular system. But this is only partially true. The main causes of telangiectasia, as studies have shown, are rooted in the mismatch of a person's hormonal background. There are also a number of other diseases that can cause exactly this reaction of the body to their "invasion". The following primary sources can be named:

• Radiation dermatitis.
• Genetic predisposition.
• Xeroderma - increased sensitivity to ultraviolet radiation.
• Mastocytosis is the accumulation and proliferation of mast cells in tissues.
• Raynaud's disease is a disease of the small arteries of the extremities.
• Varicose veins.
• Rosacea is a chronic inflammatory disease of the facial skin that is not infectious.
• Cirrhosis.
• A group of diseases that can provoke manifestations of ataxia.
• Long-term exposure to carcinogens.
• Long-term course of drugs from the corticosteroid group.

If the pathology that has manifested itself is not hereditary or congenital in nature and the person was born with elastic and strong vessels, then the pathology is acquired and, in addition to the above, its manifestation can be influenced by other factors:

• Passion for alcoholic beverages.
• Hypodynamia.
• Nicotine.
• Unhealthy lifestyle.
• Passion for solarium.
• Long-term exposure to direct sunlight.
• And other factors.

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Pathogenesis

The mechanism of origin and development of the disease, mainly, begins to manifest itself already in infancy (if the disease is hereditary or congenital). In any case, the pathogenesis of telangiectasia begins with the manifestation of cerebellar ataxia, but, to date, it has not been fully studied.

In the case of the acquired form of the disease, doctors suggest that the hormone estrogen plays a significant role in the expansion of blood vessels and the loss of their elasticity and strength.

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Symptoms telangiectasias

This disease is difficult to miss (if the localization is on the open surface of the skin). The symptoms of telangiectasia are uniform and are formed from capillary loops located close to the outer dermis. Vascular asterisks or spots can have different shades: from violet-blue to purple. It has been noted that the color can change over time.

As monitoring of the problem shows, an experienced specialist is able to fairly accurately assume their etiology based on the shade of the capillary pattern. For example, thin red cobwebs that are not outlined above the skin surface progress from small capillaries and arterioles. While convex blue "bundles" are formed from venules.

In some cases, over time, the small red web gradually transforms, acquiring larger sizes and changing its hue to purple. This is explained by the fact that the affected vessels are partially filled with blood flowing through the venous section of the capillary loop.

First signs

The disease in question can develop on almost any area of the skin, but the most "in-demand" areas are the nose, legs and cheeks. It is not a problem to notice the first signs of the pathology. The expansion of intradermal vessels, which is an alarming signal from the body, begins to manifest itself in the appearance of a pattern on the skin. This can be: a small web, a linear pattern of capillaries, spotty, or reminiscent of stars.

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Telangiectasia of the skin

As statistics show, 25 to 30% of the population under 45 suffer from dilation of superficial vessels today. At the same time, telangiectasia of the skin affects the fair half of humanity much more often than men. And this ratio is quite noticeable. 80% of women (especially those who have undergone obstetric care), against 20% of men.

Telangiectasia of the skin mainly develops from the transformation of venules and arterioles.

Moreover, according to the same statistics, up to the age of 30 only ten percent face this problem, by 50 this figure already amounts to forty percent, while for people over 70, the disease affects 75% of the population.

But these manifestations, in isolated cases, can also appear in newborns or older children.

Telangiectasia on the face

The most frequent cases of manifestation of the disease in question are on the face. The manifestation of telangiectasia on the face (if this does not concern the congenital form of the disease) is caused mainly by the fact that many people, by necessity or by their own desire, are exposed to direct sunlight for a sufficient amount of time (passion for sunbathing in the open sun or in a solarium).

It is the effect of hard radiation that explains the appearance of bluish or pink-red changes on the face over time. They are mainly localized on the wing of the nose, chin and cheeks of a person.

Telangiectasia of the lower extremities

But telangiectasia of the lower extremities has a completely different etiology. As doctors have noted, it most often begins to develop in people with a history of varicose veins.

The essence of the problem is that such patients have stagnation in the venous bed, thereby disrupting its outflow. This fact leads to an increase in the flow area of small vessels. Under the increased pressure of blood, the vessels cannot withstand, their integrity is disrupted, which leads to the appearance of an intricate pattern on the skin.

A similar picture can be observed in a pregnant woman, but the point is not in the increased load due to a malfunction in the body, but in the increased volumes of blood that are pumped by the system, as well as due to the restructuring of the woman's body to a new status. Hormones lead to a decrease in vascular tone, which entails their expansion.

Telangiectasia on the chest

If blood vessel patterns begin to appear in the chest area of a person, then it is worth sounding the alarm and consulting a qualified specialist. After all, telangiectasia that appears on the chest can be a symptom of such a terrible disease as liver cirrhosis. But not only it.

It is quite possible that such a pattern was provoked by prolonged exposure to the scorching sun, and the rays, hitting the décolleté area, caused such a picture, or the patient has a congenital predisposition of blood vessels to this pathology. But it is better to hurry to see a doctor than to shake with guesses.

Telangiectasia on the abdomen

An unpleasant symptom for a person is also the appearance of an intricate vascular pattern in the peritoneum. Telangiectasia on the abdomen in the form of red cobwebs can indicate that the intradermal capillaries of this area are losing elasticity. The cause of such a change in the functioning of the vascular system can be the pathology of acute gastrointestinal bleeding.

If, during a routine examination, a person discovers a similar picture, it would not be a bad idea to consult a specialist.

Telangiectasias on the hands

Quite often during pregnancy (especially in the last stages) a woman discovers veins appearing on her legs, which is quite physiologically explainable. Much less often, one can observe the manifestation of telangiectasia on the hands, but these are still not isolated cases.

In the case of pregnancy, the catalyst for the process in question is the same hormonal imbalance that invariably appears as soon as conception occurs.

Another source of the disease is the sun. As mentioned above, its harsh radiation can cause deterioration of the walls of the subcutaneous capillary system. And as a result - telangiectasia on the hands.

Hemorrhagic telangiectasia

One of the most frequently diagnosed hereditary diseases affecting the vascular system is hemorrhagic telangiectasia, or as it is also called - Rendu-Osler disease.

This pathology is characterized by an increase in the cross-section of the blood capillary and focal thinning of its walls, forming a local incomplete hemostasis. The type of inheritance is autosomal dominant. Various gene pathologies are noted.

The etiology of this disease remains unclear. The pathogenesis is similar to vascular dysplasia - anatomical underdevelopment of blood vessels. In this case, the pathology is congenital.

The essence of the anomaly is in the inferiority of the mesenchyme. The essence of the problem is in the decrease in the thickness of the walls of blood vessels, in their loss of elasticity and strength. Due to the pathology in the anatomical structure and underdevelopment of the vessels, an arteriovenous aneurysm begins to develop. In this case, even a minor injury can lead to a violation of the integrity of the blood vessel walls and the development of bleeding.

Spotted telangiectasias

There is another manifestation of this disease, which is often accompanied by collagenosis or other dermatological pathology. We are talking about a pathology called spotted telangiectasias. Their characteristic feature is spot-like manifestations on the dermis of a bright red color.

There are two typical locations for their localization:

1. On the inner thigh. Veins are mostly linear in nature. As a rule, their source is the reticular vein, which is located proximally.
2. On the outer surface of the thigh. The pattern on the skin is usually tree-shaped, ring-shaped. At the same time, their source, the reticular vein, is located distally.

Capillary telangiectasia

Vascular malformation, often consisting of saccular or fusiform dilations, has the medical term capillary telangiectasia. Basically, their supply and fluid outflow can be dilated without having a complete blockage of the flow. In this area, the number of blood capillaries is mainly not affected.

This type of pathology is usually found on the dermis of the face, neck (décolleté area) and thighs. Less often, it can be found on the calves. The reasons for its appearance have already been voiced, but it is not superfluous to repeat:

• Heredity.
• Long-term exposure to direct sunlight.
• Disruption of the blood circulation process.
• Pregnancy.
• Varicose veins.

The pathogenesis of the problem is different, but the essence is expressed by two variants of the problem’s development:

• Negative external influence on blood vessels, causing their walls to lose elasticity.
• For some reason, any passage of blood to parts of the body, such as the extremities, is obstructed. At the same time, pressure in the vessels begins to increase and, consequently, the vessels expand. Ultimately, there is stagnation of blood and destruction of capillaries.

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Rendu-Osler telangiectasia

The frequency of diagnosed pathology today is, according to some data, one case per 50 thousand of the population, according to others - per 16.5 thousand. Rendu Osler's telangiectasias are diseases of a congenital nature and belong to the hemorrhagic group of telangiectasias.

The autosomal dominant type of manifestation is characterized by multiple foci of the disease, affecting the skin and mucous membranes. At the same time, the pathogenesis of this pathology has not been thoroughly studied or understood to date. The dominant version is about the congenital nature of Rendu-Osler disease, caused by defects in the development of the mesenchyme. Underdevelopment of this section of the system comes down to the fact that some segments of the walls of blood vessels lack muscle tissue (fibers). In such sections, the wall practically consists of one endothelium, surrounded by loose connective structures. Such a clinic leads to significant thinning of the capillaries and venules. At the same time, the vessels that form telangiectasia, under the influence of certain factors, increase their flow cross-section, expanding in diameter. As a consequence of this process, anastomosis with arterioles occurs. This process occurs through capillary segments. Arterial-venular anastomoses are beginning to be diagnosed.

When examining such patients, loosening of connective tissues was also revealed. In pathological zones, an increase in the concentration of histiocytes and leukocytes was observed. This disease is accompanied by underdevelopment of sweat glands, dermal papillae, as well as a decrease in the number of developing hair follicles.

Bleeding is also not uncommon for Rendu-Osler disease, which is caused by increased fragility of blood vessels, loss of elasticity and strength. In some cases, doctors observe a failure in the platelet production system and activation of fibrinolysis in patients with this diagnosis. But the last two facts are rather a rare exception than a pattern. Therefore, they are not perceived as symptoms of Rendu-Osler disease.

Telangiectasia Louis-Bar

Another manifestation of the disease in question, not without reason attributed to hereditary pathologies, is Louis Bar telangiectasia. As scientists have established, the main sources of Louis-Bar syndrome (or as it is also called ataxia - telangiectasia) include:

• Deficiency of T-cell replenishment of the body's defenses. This factor provokes frequent colds, respiratory and infectious diseases in the patient. The risk of getting a malignant neoplasm in the future increases.
• Telangiectasia of the skin and ocular conjunctiva.
• Cerebellar ataxia.

Mostly, the first symptoms of this disease begin to appear at the age of 3-6 years. Although a later appearance is also possible. There are also isolated cases of the syndrome appearing already in the first month of a newborn's life.

It is worth noting that the symptoms of telangiectasia may indicate the presence of various diseases, but in tandem with ataxia - this is Louis-Bar syndrome. Initially, a bloody web appears on the conjunctiva, capturing the eyelids and gradually the entire face. Then it spreads to the areas of the bends in the elbow and knee joint, the inner parts of the feet and hands. There were cases when such a pattern was found on the mucous membrane of the palate.

The initial appearance of small coffee-colored spots is possible. They are especially contrasting in places where sunlight hits.

Ataxia-telangiectasia

As described in the previous subsection, the combination of two symptoms: the manifestation of atoxia (impaired coordination of movements, loss of balance) and telangiectasia (the appearance of a network of blood vessels on the surface of the skin), indicates the presence of Louis-Bar syndrome in the patient's history. The combination of ataxia - telangiectasia, relating to autosomal recessive pathologies, gradually progresses. If adequate measures are not taken, they can lead to increased muscle weakness, paralysis, and sometimes even to the death of the patient.

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Telangiectasia in newborns

Doctors encounter transient or transient changes in the epidermis of newborns quite often. Most of these manifestations are physiologically justified and do not require any intervention. As statistics show, telangiectasia in newborns has a fairly high frequency and amounts to about 70%.

Such symptoms usually go away on their own over time. As a rule, this happens before the age of one year, less often at a later age.

This fact does not apply to manifestations of telangiectasia, together with symptoms of ataxia. Such a combination indicates the seriousness of the situation and requires immediate consultation with a specialist.

Hereditary telangiectasia

A pathology transmitted hereditarily by an autosomal dominant type. One mutated gene is enough for a person to get excessive vascular bleeding. The probability of a child having this mutation (if one of the parents has a mutated gene) is 50%. If both parents are sick, there are no alternatives.

In this regard, hereditary telangiectasia is predominantly manifested by frequent bleeding from the nasal passages, and it is often not possible to explain the cause of the attack.

Complications and consequences

If timely and adequate measures are taken to stop the problem, the situation can be stabilized, protecting the patient from future complications. If time is lost, the consequences can be not only severe, but also dangerous to the patient's health and life.

• Iron deficiency anemia is a decrease in hemoglobin levels, which leads to oxygen starvation of the body.
• The appearance of profuse bleeding (hemorrhages):
  • Mucous membrane of the digestive tract.
  • Into the brain.
  • Into the lung tissue.
• Local or general paralysis of the body is possible.
• Hemorrhages in the retina can cause vision loss.
• Fatal cases are rare, but the risk of their development exists.
• Loss of consciousness. The so-called anemic coma.
• General deterioration of the condition of all internal organs, especially in the presence of chronic diseases.

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Diagnostics telangiectasias

When identifying any pathology, there are specific methods and tools. Primarily, diagnostics of telangiectasia begins with a visual examination of the patient. After this, the doctor gives a referral for a study of the vessels for their pathology. If necessary, a consultation with an ophthalmologist and otolaryngologist is possible. And also:

• The doctor will definitely study the patient’s medical history, finding out whether telangiectasia has been diagnosed in close relatives.
• An MRI of the brain may be performed.
• X-ray of the lung area.
• Complete blood count.
• Urine analysis.
• The cholesterol level is determined.
• Tests for assessing hemostasis – the coagulation process.
• Measuring blood pressure.
• Endoscopic examination of internal organs.

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Tests

As already mentioned, laboratory tests play an important role in making the correct diagnosis. The tests that the doctor prescribes are:

• Urine analysis, if red blood cells are detected in it, this fact indicates the presence of pathology in the body.
• Complete blood count. The level of red blood cells is determined, which should normally be between 4.0 and 5.5x109 g/l. After bleeding, a surge in reticulocytes is observed - cells responsible for the production of red blood cells. The hemoglobin level is determined, readings below the norm (130-160 g/l) indicate a certain degree of iron deficiency. The number of leukocytes is usually normal - 4-9x109 g/l, with such a pathology, the number of platelets does not deviate from the norm (150-400x109 g/l). If their number decreases, then this fact can only be explained by bleeding itself.
• A biochemical blood test provides cholesterol, glucose, uric acid, creatinine, and electrolyte levels. This test can help identify any associated pathology.
• Evaluation of hemostasis by tests:
  • Duration of bleeding. For this, a finger or earlobe puncture is done.
  • The period of blood clotting (before a blood clot appears).
  • Pinch test – assesses the period of manifestation of subcutaneous hemorrhage.
  • Tourniquet test - a noose is placed on the shoulder for about five minutes. This method allows one to assess the appearance of hemorrhage in the patient's forearm.

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Instrumental diagnostics

Modern medicine cannot do without innovative equipment. Instrumental diagnostics has not ignored this disease. Usually the doctor prescribes:

• Blood pressure is checked using a tonometer, and a cuff test is also performed: the device inflates the cuff to about 100 mm Hg. It is held for five minutes and the skin surface is examined for hemorrhages.
• Spiral computed tomography allows you to assess the condition of internal organs, while obtaining a series of X-ray images. Helps to assess the extent of telangiectasias.
• A number of endoscopic examinations:
  • Fibroesophagogastroduodenoscopy is an examination of the digestive tract.
  • Colonoscopy is a visualization of the large intestine.
  • Laparoscopy is an examination of the peritoneum through a puncture.
  • Bronchoscopy is an examination of the respiratory organs.
  • Cystoscopy is an examination of the urinary system.
• Magnetic resonance imaging (MRI) is the effect of a magnetic field on the patient's body. Allows you to get a package of X-ray images of the examined area of the body and a visual examination on the computer screen in 3D. Localization and scale of telangiectasias.

Differential diagnosis

There is another direction of disease recognition - differential diagnostics. By means of special tests and studies, the patient's condition is analyzed. Having received a complete picture of the pathology, the specialist can give a conclusion about the nature of the disease - primary or secondary pathology.

Primary includes:

• Hereditary hemorrhagic telangiectomy.
• Hereditary telangiectomy.
• Ataxia - telangiectomy.
• Nevoid.
• Generalized essential.
• Marbled skin.
• To secondary pathology:
  • The body's reaction to a foreign transplant.
  • Basal cell carcinoma.
  • Disruption in the production of collagen and estrogen.
  • Solar crator.

There is also differential diagnostics based on the type of pattern:

• Woody.
• Linear.
• Starry.
• Spotted.
• And also there is a distinction based on the involvement of one or another vessel in pathological deviations:
  • Increase in the cross-sectional area of arterioles - arterial.
  • An increase in the cross-sectional area of venules is venous.
  • Capillary.

The difference between hemangioma and telangiectasia

An inexperienced specialist, or a person far from medicine, is not able to differentiate between these two concepts, but the difference between hemangioma and telangiectasia does exist.

Hemangiomas are benign neoplasms. The tumor is formed from endothelial cells that develop independently. The first changes can already be seen in the first few days of a newborn's life. Their rapid development occurs in the next six months. As experience shows, then the growth of its activity decreases somewhat and after the onset of a year, its countdown begins. During the first five years of life, about 50% of tumors are absorbed, after seven years this figure approaches 70%. Most of the remaining 30% involution occurs by the age of 12.

Telangiectasia is a constant increase in the cross-sectional area of small blood vessels in the subcutaneous area: areoles, capillaries and venules. This pathology does not have an inflammatory nature, and has both congenital and acquired genesis.

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Treatment telangiectasias

The choice of the method of stopping the problem directly depends on the definition of the source of the pathology. Treatment of telangiectasia, as well as the causes that give rise to it, is quite diverse. And, depending on the clinical picture, the diagnosis and the specific source, the doctor chooses the method that, in his opinion, will be most effective.

• Conservative treatment comes down to spraying the affected dermis with special fibrinolysis inhibitor medications. They stop bleeding, preventing the resulting blood clots from dissolving, forming hematomas.
• Sclerotherapy is a procedure by which a special medicine is injected into the damaged vessel, which “glues” the damaged walls together. But at the same time, we should not forget about concomitant drug therapy aimed at eliminating the very cause of the vascular pathology.
• Surgical intervention is used when it is necessary to remove a sector of the damaged capillary. Today, there are methods that allow replacing the damaged area with a prosthesis. This involves cauterization and ligation of the vessels that are the source of blood for telangiectasia.
• Electrocoagulation is especially effective for nosebleeds.
• Cryocoagulation is the use of low temperatures (in the form of liquid nitrogen) to cauterize areas damaged by telangiectasias.
• Treatment based on hormones. If the cause of the disease is a hormonal imbalance in the body, it is corrected with drugs of the mentioned group.
• Hemocomponent treatment involves transfusing blood components into the patient.
  • Transfusion of fresh frozen plasma. In case of acute blood loss.
  • Platelet transfusion. It is performed in case of large blood loss.
  • Transfusion of red blood cells. Prescribed based on laboratory blood tests (if the red blood cell count is low).

Medicines

In some cases, conservative treatment is prescribed for the treatment of telangiectasia. In this case, the patient is prescribed drugs belonging to the group of fibrinolysis inhibitors, which inhibit the process of dissolving blood clots and thrombi by competitively inhibiting the plasminogen-activating enzyme and inhibiting the formation of plasmin.

Such drugs include: transamcha, polycapron, cyclo-F, aminocaproic acid, exacyl, tranexamic acid, retioderm, cyclocapron and others.

The drugs are applied locally in the form of sprays, wipes and ointments.

Folk remedies

Alternative medicine also has its own proposals for treating the disease in question. We offer folk treatment, expressed in several methods.

• Crush the grapes (blue) and apply to the vascular design.
• Grapes can be replaced with red currants or strawberries.
• Apple cider vinegar is also effective. Wipe the affected areas with a cotton swab soaked in the liquid. Then place a cabbage leaf on top and secure with a tight bandage.
• Similar rubbing can be done with the pulp of green tomatoes. After such a procedure, a nourishing cream should be applied to the skin.
• You can prepare a healing cream by adding jojoba oil to regular cream. Lubricate the affected areas.

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Herbal treatment

When certain factors coincide, herbal treatment is also used to relieve telangiectasia.

Healers recommend making a mask from the following herbs: chamomile, potato starch, horse chestnut flowers, calendula, yarrow and horsetail. Mix all the ingredients and, adding a little water, get a thick gruel. Apply the composition to the affected area, covering it with gauze. Leave it for a quarter of an hour and wash it off with an infusion made from calendula, yarrow and chamomile, which is prepared classically from a tablespoon of the mixture and a glass of boiling water.

Another effective compress is prepared on the basis of a collection of horse chestnut flowers, calendula, couch grass, chamomile and horsetail. A tablespoon of the collection is poured with a glass of boiling water and boiled for about five minutes on low heat, filtered. Use as a lotion, applied for 10 - 15 minutes. If the cloth has dried out, it should be moistened again in the decoction. After the procedure, apply a little cream based on calendula.

Decoctions of these herbs taken internally will also be useful. You can also add rue, wild pansy, elder flowers, horse chestnut or rue extract, taken 15-30 drops, diluted in half a glass of water three times a day.

Blueberries against telangiectasia

It is possible to improve the condition of blood vessels, at least partially restoring their strength and elasticity, with products rich in vitamins such as C, E and P. Blueberries have proven themselves especially effective against telangiectasia. They can be eaten both fresh and processed.

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Homeopathy

It is possible to talk about full-fledged therapy with homeopathic preparations only in case of their long-term use. Homeopathy, represented by such medicines as lachesis, aurum iodatum, aurum metallicum, abrotanum, allows to restore circulation in the microvascular bed.

Surgical treatment

More radical methods play an important role in stopping the disease. Surgical treatment of the pathology is represented by a number of innovative methods:

1. Laser coagulation. This type of cauterization is mainly used for capillary defects on the face, but can also be used on other parts of the body. Under the influence of high temperatures, tissues are glued together.
2. Electrocoagulation is the cauterization of damaged vessels with electricity.
3. Scleroscopy. The use of a sclerosant allows for the damaged areas of the vessel walls to be “sealed”.
4. Eloscopy is an innovative ELOS technology that very effectively “glues” damaged blood vessels without allowing contact with the skin. This method has virtually no contraindications and is non-traumatic.
5. Ozone therapy is performed by introducing an ozone-oxygen compound with a high ozone content into the vessel. It is a catalyst for oxidation processes, which leads to the destruction of the vessel. This method is used to relieve telangiectasia on the legs.

Removal of telangiectasias

Today, there are several methods known for removing telangiectasias. One of these is the radio wave surgery method, used to remove capillary patterns from the face and other areas. Its advantage is contactlessness, no swelling or scarring. The negative aspects include the possibility of using it to remove small volumes of damage. The procedure uses high-frequency radio waves emitted by a special device called "Surgitron".

Another method of removal is laser photocoagulation. The essence of the procedure is the absorption of energy emitted by the beam by the tissues of the vessels. The walls are heated, which provokes their fusion. The advantage of the method: a high cosmetic effect due to the contactless nature of the process. The disadvantage is that the area of damage by the beam is about 3 mm, while the diameter of the capillary is no more than 1 mm. It is used mainly for large areas of damage.

Prevention

To prevent or reduce the risk of developing pathology, it is worth following some recommendations from specialists. Prevention of telangiectasia includes:

• Protection of the skin from excessive sun exposure.
• If there is a predisposition to pathology in the family, you should use special cosmetics (that work to narrow blood vessels), which a specialist will advise and select.
• It is worth giving up bad habits and reviewing your diet, giving preference to healthy food.
• Emotional stability and a healthy lifestyle are necessary.
• If there are prerequisites, undergo medical genetic consultation.
• You should take care of your immunity: hardening, contrast showers, special physical exercises, fresh air.
• Selection of physiologically correct footwear and clothing.
• Weight normalization.
• Moderate physical activity.
• Timely treatment of diseases affecting the cardiovascular system.
• Timely adequate therapy of hereditary telangiectasia.
• Regular preventive examination.

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Forecast

In general, the prognosis for the disease in question is favorable. In some cases, the pathology does not require any treatment, resolving itself over time. Some cases require adjustment. But in general, if the patient seeks medical help, the disease will not bother him much in the future.

Only in isolated cases are profuse gastrointestinal bleeding possible. In such a picture, emergency medical assistance is required.

An exception is the Louis-Bar syndrome, or as it is also called - ataxia-telangiectasia. There are currently no effective ways to stop the disease. The fatal outcome occurs in adolescence or youth, and the cause is mainly a pulmonary infection or malignant lesion of the lymphoreticular system.

The appearance of an intricate vascular pattern on the skin surface should prompt a person to visit a specialist. After all, telangiectasia is not only a cosmetic defect, it can be a symptom of a much more serious pathology. Therefore, you should not ignore a specialist consultation. Let it be a false alarm, rather than wasting time on treatment. Be more attentive to yourself and your body, then you will not have to solve health problems in the future.

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