Treatment of Poikiloderma by Pigment and Vascular Lasers

  • Mohamed Lotfy Elsaie
  • Voraphol Vejjabhinanta
  • Angela C. Martins
  • Keyvan Nouri


Poikiloderma of Civatte (PC) is a condition of the middle aged fair-skinned women and men. It is characterized by a triad of superficial skin atrophy, telangiectasia, and reticulate pattern of pigmentary alterations (both hyperpigmentation and hypopigmentation). Discoloration is usually profound at the lateral aspects of the cheeks, the lower anterior and lateral aspects of the neck, and V shape of the upper chest. The submental area, shaded by the shin, is spared (Fig. 7.1).1–14 Lesions are usually asymptomatic, although patients occasionally report itching, mild burning, and flushing.


Intense Pulse Light Mild Burning Potassium Titanyl Phosphate Chemical Peel Selective Photothermolysis 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Mohamed Lotfy Elsaie
    • 1
    • 2
  • Voraphol Vejjabhinanta
    • 2
    • 3
  • Angela C. Martins
    • 2
  • Keyvan Nouri
    • 4
  1. 1.Department of Dermatology and Cutaneous SurgeryNational Research CenterCairoEgypt
  2. 2.Department of Dermatology and Cutaneous SurgeryUniversity of Miami, Miller School of MedicineMiamiUSA
  3. 3.Department of DermatologyMahidol UniversityBankokThailand
  4. 4.Department of Dermatology and Cutaneous Surgery, and Department of OtolaryngologyUniversity of Miami, Miller School of MedicineMiamiUSA

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