Diseases with telangiectatic manifestations. MCQs Unit 10 (Dr Adrian Lim) 1. Haemangiomas are present at birth and grows in proportion to the physical growth of the child. 2. Propranolol can be used to treat haemangiomas and capillary malformations. 3. Capillary malformations can be associated with the Klippel Trenaunay Syndrome. 4. Cherry angiomas have a central arteriole and are blanchable. 5. Individuals with hereditary haemorrhagic telangiectasia suffer from ataxia at an early age. 6. Telangiectases is a feature of acute radiation dermatitis. 7. Vascular laser is first line therapy for steroid induced rosacea. 8. Rosacea is almost always a clinical diagnosis. 9. Tetracyclines improve rosacea through inhibition of metalloprotienases and potent antimicrobial activity. 10. Infantile haemangiomas are more commonly found on the trunk than the head and neck. 11. The port wine stain and salmon patch are common forms of capillary malformation. 12. The pulsed dye laser is the treatment of choice for capillary malformations. 13. Essential telangiectases of the lower limbs result from superficial or deep venous congestion. 14. Essential telangiectases occur more commonly in women and are responsive to vascular lasers. 15. Essential telangiectases is worsened by long-term hormonal contraception. 16. Poikiloderma of Civatte refers to altered skin where there is thinning, increased pigmentation and telangiectases. 17. Excessive sun exposure and photosensitizing chemicals such as fragrance can worsen poikiloderma of Civatte. 18. Poikiloderma of Civatte can be treated with pulsed dye laser and intense pulsed light. 19. Lupus is more common in males and may present with a photosensitive malar rash. 20. Telangiectases is not a feature of CREST syndrome. 21. Dermatomyositis can present with an erythematous and telangiectatic rash over the fingers, eyelids and torso. 22. Hereditary haemorrhagic telangiectasia is usually lethal in early childhood. 23. Gastro-intestinal bleeding occurs in about 2% of patients with hereditary haemorrhagic telangiectasia. 24. Ataxia telangiectasia is characterized by progressive cerebellar degeneration and facial telangiectases. 25. Telangiectasia macularis eruptive perstans is a rare form of mast cell disorder.