Archive

Autumn 2017, Vol. 25 No. 3

Hong Kong J. Dermatol. Venereol. (2017) 25, 133-136

Case Report

Telangiectasia macularis multiplex acquisita

後天性多發性血管擴張與斑點

GH Na 羅佳慧, SH Noh 盧秀弦, K Park 朴建, EJ Kim 金垠貞

Abstract

Telangiectasia macularis multiplex acquisita (TMMA) is a rarely documented disease entity that usually occurs in the middle-aged men. A 68-year-old man presented with asymptomatic erythematous-brownish macules with telangiectasia on the upper arms, anterior chest, shoulders, and upper back. He had hypertension, diabetes, and hepatitis B infection for several years. Laboratory findings revealed elevation of liver enzymes, but autoimmune markers and sex hormone levels were normal. Biopsy specimen revealed perivascular lymphocytic infiltration. He was diagnosed as TMMA with hepatitis B infection.

後天性多發性血管擴張及斑點（Telangiectasia macularis multiplex acquisita）是比較罕見的疾病，主要發生在中年男性身上。68歲男性因為出現帶有紅色、褐色的斑點和多發性血管擴張而訪問了醫院。皮膚病變主要出現在兩側上臂、前胸、兩側肩膀以及上身等。患者有高血壓、糖尿以及B型肝炎。血液檢查結果肝指數上升，但自體免疫標記或性荷爾蒙指數屬於正常。活檢結果血管周圍有輕微的淋巴細胞（lymphocyte）浸潤。以上述內容為基礎，診斷為後天性多發性血管擴張及斑點（Telangiectasia macularis multiplex acquisita）。

Keywords: Telangiectasia macularis multiplex acquisita

關鍵詞: 後天性多發性血管擴張及斑點