Poikiloderma

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Poikiloderma of Civatte (PC) is a chronic dermatosis of the group of melanodermas presented with atrophy, hypopigmentation/hyperpigmentation, telangiectasia on the central chest, sides of neck, and face in fair-skinned people (Fitzpatrick skin phototype I and II), most common in females with menopause or low oestrogen levels and genetic predisposition, which is clinically characterized by erythematous patches, often associated with dyspigmentation, atrophy, and telangiectasias.

Dermoscopy signs are: dotted/globular and linear irregular vessels (“spaghetti and meatballs” aspect), perifollicular whitish (spared) areas; additional findings included follicular keratotic plugs (25%), delicate reticular (25%) or structureless brownish areas (12.5%).