Poikiloderma of civatte 2025: Symptoms and treatment - Healthful Hints

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Poikiloderma (POY-kill-oh-dermah) is a word that means varied, multi-colored (from the Greek word poikilos) skin (derma). In skin terms it refers to any hyper(increased)pigmenation, along with slight, net-like thinning, and finely dilated blood vessels.

In 1923 a harmless poikiloderma was described by a French dermatologist named Civatte (sih- VAHT). He wrote about a mottled change on the sides of necks and jaws and down over the V-area of necks, mostly in middle-aged women. They were often close to or in their change of life. The coloring develops very gradually and always with no symptoms. The problem has no medical significance. What you see is what you get, and nothing else.

The causes of poikiloderma of Civatte are unknown. It is felt that some undetermined factors allow ultraviolet light in sun to produce the changes. One poorly coined name for it was menopausal solar dermatitis (But, what about the men who get it?-the poikiloderma, that is).

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So, you have it and do not like it? What can you do? Nothing is available to make it vanish. Mostly, you can use sun screens to try to arrest it. As time passes, it gradually fades, although it does not disappear. Any surgical, chemical, or abrasive approach only causes a more conspicuous appearance and maybe scarring. Instead of buying fading or "bleaching" creams, you are better off spending dough on cover-ups for it.

So, just lay back and perhaps lay on a little make-up. Pick some other fruitful source of fretting. Someone asked me if there were any cure for this wonderful "variety' of changes and protuberances we acquire as we mature (not get old!). I said, yup. It's called the Big Cure for that chronic condition called life. She felt that was sticking her neck out a little too far for this situation.

Dr. Frank Bures, a semi-retired dermatologist, has worked in Winona, La Crosse, Viroqua and Red Wing since 1978. He also plays clarinet in the Winona Municipal Band and a couple Dixieland groups.

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