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JAMA Dermatology Clinicopathological Challenge |

Progressive Widespread Cutaneous Telangiectasias QUIZ

Katherine M. Hunt, BS1; Rebecca Kissel, MD2; Lucia Seminario-Vidal, MD, PhD2
[+] Author Affiliations
1University of Alabama School of Medicine, Birmingham
2Department of Dermatology, University of Alabama at Birmingham, Birmingham
JAMA Dermatol. 2014;150(10):1103-1104. doi:10.1001/jamadermatol.2014.1183.
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A, Multiple telangiectasias coalescing to form large, retiform patches on the bilateral lower extremities. B, Dilated, ectatic vessels in the superficial dermis with no associated inflammation or fibrinoid necrosis (hematoxylin-eosin, original magnification ×200).

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Vascular Laser is the Treatment of Choice for GET
Posted on October 12, 2014
Philip Bekhor
Director Laser Unit Dept. Derm. RCH Melbourne Australia
Conflict of Interest: None Declared

A nice review of GET, however the treatment discussion lacks perspective. In reality, vascular laser works very well. My experience with 595nm Pulsed Dye Laser for this condition demonstrates very high response rates at the lower end of the fluence range. I suspect than any vascular laser or IPL operating in the 500 to 600 nm range with a large treatment spot size would be effective. In summary, vascular laser is the treatment of choice and the bizarre collection of medications that have been tried are simply an historical curiosity.

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