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Q. There are red lines on my neck that look like stretch marks. What can be done?


Image: There are red lines on my neck that look like stretch marks.  What can be done?

Hello doctor,

My neck has weird red lines all over it which seems to me as stretch marks. I am currently 18. Is there a way to cure this?


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Dr. Idowu Olalekan
UNIVERSITY., RESIDENCY TRAINING., RESIDENCY TRAIN2
Family Physician

Hello doctor,

The pictures uploaded did not show the said stretch mark (attachment removed to protect patient identity). However, what readily comes to one's mind is that it may be spider veins (widened tiny blood vessels just below your skin). The doctors call such condition telangiectasia.


The Probable causes:

Use of corticosteroids, certain abrasive creams, and soaps, alcohol abuse, pregnancy, increasing age, hardening and contraction of the skin, inflammation of the skin and the muscle under it, systemic lupus erythematosus, or it may be part of HHT-hereditary hemorrhagic telangiectasia.

Investigations to be done:

Investigations to rule out underlying disorder include clotting profile, CT scan, MRI.

Differential diagnosis:

Spider angioma, Sturge Weber disease, hereditary hemorrhagic telangiectasia.

Probable diagnosis:

Spider veins- telangiectasia.

Treatment plan:

Treatment options include sclerotherapy, laser therapy, and surgery.

Preventive measures:

Cut down on alcohol, avoid working outdoors for long, shed weight- not applicable to my index patient, avoid misuse of corticosteroids, reduce prolonged standing.

 
 
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