Poikiloderma of Civatte

Key Points
Skin weathering condition typically affecting the neck
Exact cause is unknown, though several factors may contribute to its development
Consists of thinning, reddish-brown pigmented skin in the affected area, accompanied by increased prominence of follicles and telangiectasia

Poikiloderma of Civatte is a skin weathering condition which typically affects the neck, usually on the front and sides. Areas which are not as vulnerable to exposure, such as under the chin, are not generally affected. The condition consists of thinning, reddish-brown pigmented skin which may be accompanied by an increased prominence of hair follicles and telangiectasia (dilation of tiny blood vessels) in the affected area.

The exact cause of Poikiloderma of Civatte is unknown, though several factors may contribute to its development, including sun exposure, certain cosmetics or toiletries, and hormone changes. Those persons with fair skin are at an increased risk of its development.

Differential Diagnosis (Other conditions with similar appearance)
Berloque Dermatitis
Lupus erythematosus, Acute
Bloom syndrome (Congenital telangiectatic erythema)
Parapsoriasis
Cutaneous T-cell lymphoma
Riehl Melanosis
Dermatomyositis
Rothmund-Thomson syndrome
Dyskeratosis Congenita

Diagnosis
Key Points
Diagnosis based on characteristic appearance of the affected area
Laboratory testing may be performed to rule out other conditions

Poikiloderma of Civatte is typically diagnosed based on the characteristic appearance of the affected area. Laboratory testing may be performed to rule out other conditions

Treatment
Condition does not respond well to treatment
Goal of treatment is to prevent further development and relieve symptoms
Various therapies may be effective in treating symptoms
OTC Options: sunscreen

Poikiloderma of Civatte does not respond well to treatment. The goal of treatment is to prevent further development of the condition by using sunscreen and avoiding irritants in the affected area and relieving symptoms. Therapies typically include hydroquinone preparations, exfoliants, and laser therapies to relieve pigmentation and telangiectasia.