Poikiloderma of Civatte
By Dina ElSherif
Published on February 17, 2011
Poikiloderma of Civatte is a skin condition that results in atrophy, hyper and hypo pigmentation, and dilation of fine blood vessels (telangiectasia). It is usually present in symmetrical patches on the lateral cheeks and sides of neck. Poikiloderma is a form of sun damage. People can develop lesions when chronically exposed to ultraviolet light. Another possible cause of Poikiloderma is photosensitizing chemicals in perfumes and cosmetics and hormonal changes related to menopause or low estrogen levels. Of course a genetic predisposition may also exist.
The incidence of Poikiloderma of Civatte is unknown. Many people don't even know they have it since it can be so mild. By the age of 15, if constantly exposed to the sun, children can develop significant damage; the effects of the condition can show up as early as the 20s. It typically occurs in fair skinned females.
Are There Any Effective Poikilederma Treatments?
In our experience, Jardin Medical Spa, located 10 minutes from Center City Philadelphia, has found the Fraxel laser to help minimize the affects of Poikiloderma. The Fraxel is a well-branded, fractionated resurfacing laser that is used to clear up skin and improve tone and texture. It targets pigment and vascular lesions. The fractionated laser treats only a fraction, a percent of the skin at one time, leaving the surrounding tissue healthy and allowing the tissue to heal with minimal discomfort and downtime. Other remedies that may be used to treat Poikilederma include topical retinoids with hydroquinone and alpha hydroxyl acids. To prevent Poikilederma, wear a sunblock that offers complete UVA and UVB coverage.