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.
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
Posted on February 28, 2013, in Aesthetic, Medical, Treatments, Uncategorized and tagged diffuse redness, Ellipse I2PL, I2PL treatments, pigmentation, Poikiloderma, Poikiloderma of Civatte, Sun-damage. Bookmark the permalink. Leave a comment.