Telangiectasia - is the official name of the disorder in which human skin spider veins appear. If their appearance is not preceded or accompanied by any cutaneous or systemic diseases such telangiectasia is called the primary. Telangiectasia, develops as a result of any breach, called secondary.

Symptoms

Most often when telangiectasia spider veins appear on the feet, legs, and ankles. Some patients eventually spider veins formed on the thighs and on the arms and torso. Only in some cases, the first symptoms appear telangiectasia on the upper body. Bleeding from blood vessels, forming the so-called stars, it is very rare.

Most people have spider veins are the only symptom telangiectasia; some patients from time to time there is a numbness, tingling or burning sensation in extremities.

First spider veins usually appear after forty or fifty years, but some patients have telangiectases and thirty years. Typically vascular eventually becoming larger and without treatment they do not disappear.

Width vessels forming capillary sprocket, typically less than 0.2 mm; Unlike varicose veins, they do not show through the skin surface. There are also venous asterisks or mesh; forming their vessels wider than 0.2 mm, but they are not such big and noticeable as varicose veins. Capillary asterisk may have reddish or violet hue, and venous spider veins are usually blue or blue.

If spider veins pressure, it instantly pale, but then small vessels very quickly refilled with blood. In the dermis, the major veins and other structures beneath the spider veins, any changes are missing. Apparently, they do not cause any harm, and only cause inconvenience aesthetic nature.

Causes

The causes of telangiectasia remain unknown. Substances which are produced in the body, such as estrogen, serotonin and adrenal hormones are not associated with the appearance of spider veins. Also it found no relationship between telangiectases and varicose veins Varicose veins - when to consult a surgeon?   or venous insufficiency.

Scientists suggest that the formation of spider veins may be due to exposure to sunlight and mechanical factors, such as constant friction. In some patients, spider veins appear in the scar left after appendectomy (removal of the appendix), but around the scars of other operations such tumors were observed.

Diagnostics

Laboratory tests in patients with telangiectases without other diseases, do not show any abnormalities. If a patient is concerned only spider veins, the doctor may not prescribe any tests - usually it is enough to diagnose a simple inspection of the skin, where there is the expansion of capillaries and other small vessels. Special diagnostic procedures shall be appointed only if the doctor suspects that the patient may be any other violation.

Treatment

Capillary asterisk in primary telangiectasia rather difficult to treat. Generally, the universal methods of treating vascular not currently exist, although in many cases successfully eliminated by laser coagulation.

Venous sprocket many patients effectively eliminated with sclerotherapy, and with capillary sclerotherapy sprockets usually appears to be useless. Moreover, attempts to treat this kind of spider veins sclerotherapy Sclerotherapy   It can cause vasodilatation that appear in other areas of the skin. Due to the very large number of small capillaries, these new stars are often red or pink.

Reported case where the patient, taking a tetracycline, spider veins become much less noticeable within three weeks after the start of treatment and completely disappeared after three months. She was appointed tetracycline as telangiectasia confuse symptoms with symptoms of rosacea, which sometimes can be treated with tetracycline. It remains unclear why and how an antibiotic to help get rid of spider veins.

The other patient, who suffered not only from extensive telangiectasias, but also from autoimmune thyroiditis, progressive muscular dystrophy and varicose veins, spider veins disappeared completely after oral administration of acyclovir. Improvement was noted in three weeks, and two months later stars can barely be seen. Treatment lasted for five months, and no relapse occurred. On the symptoms of other diseases of the patient acyclovir did not have any impact. Telangiectasia noted improvement in symptoms in people who are taking ketoconazole. However, most patients receiving these and other drugs, spider veins do not disappear or even become less noticeable.

In most cases, for the treatment of vascular applied laser photocoagulation. This effectively eliminates the dilated blood vessels on the face Advanced vessels on the face: a few treatments But to get rid of the stars on his feet, often need to spend a few sessions of laser coagulation, and even that does not guarantee a good result.

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