A case of benign hereditary telangiectasia without family history*

Dear Edito, A 60-year-old white female patient sought treatment for asymptomatic erythematous-telangiectasia macules on her upper limbs, back, abdomen, thighs, neck, and lips (Figures 1 and 2). The condition started at 7 years of age. Her lower limbs showed no skin alterations, and she never developed mucosal nor visceral bleeding. Darier’s sign was negative. She suffered from hypertension and type II diabetes mellitus; atenolol, hydrochlorothiazide, furosemide, and metformin were used for treatment. She denied skin lesions in other family members, including her only daughter. She had quit smoking, had no history of alcohol abuse, and had reached menopause at the age of 45. Histopathological examination performed on her skin (back and left shoulder) showed preserved epidermis, dilated superficial dermal blood vessels, mild lymphocyte reaction, and absence of mast cells (Figure 3). Lab tests – e.g., complete blood