Poikiloderma of Civatte

Sun and Sensitizer

Poikiloderma of Civatte is the correct medical name for a condition that consists of a combination of diffuse redness, and pigment changes (areas of both darker and lighter pigmentation) typically at the sides of the neck and on the upper chest. There is also likely to be some thinning of the skin (atrophy).  Although there are a few diseases that can increase the likelihood of developing the condition, most patients recognise that the areas in which they personally display the symptoms quite closely match the areas in which they have applied some sort of perfume or after-shave. This strongly suggests that the condition is not so much a disease as a skin reaction to sun and a sensitiser. This is backed up by the fact that areas shaded by the chin, or normally protected by clothing do not show the condition as much.

The condition is most obvious in light skinned individuals, because of the general redness in the affected area, but also because patients with skin types 1 and 2 are more sensitive to the sun.

Picture courtesy  of Dr  Pablo Boixeda www.clinicabiolaserlamoraleja.com

Picture courtesy of Dr Pablo Boixeda
http://www.clinicabiolaserlamoraleja.com

Treatment

This blog will always try to be fair in pointing out the various alternative treatments available. But to be fair in this case we have to say that Intense Pulsed Light such as Ellipse I2PL has to be treatment of choice. It is possible to treat with a pulsed dye laser (PDL), but PDL treatment has a higher incidence of causing bruising (purpura), depigmentation and scarring. I2PL generally requires less treatments to achieve a more cosmetically pleasing result.

Treatment with I2PL uses either the VL+ or PR+ applicator, depending on the patient’s skin type and background level of sun tan (though tanning in the month before treatment is strongly discouraged).

Typically from 1 to 3 treatments are required, and treatment settings are virtually identical to those used in Photo Rejuvenation

About ellipseblogger

Ellipseblogger is the collective name for the various service staff of Ellipse A/S; manufacturers of laser and Intense Pulsed Light (I2PL) solutions for aesthetic dermatology since 1997. Please note that this blog reflects our worldwide applications of Ellipse systems of which some may not be currently cleared for sale in the US.

Posted on February 28, 2013, in Aesthetic, Medical, Treatments, Uncategorized and tagged , , , , , , . Bookmark the permalink. Leave a comment.

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