Abstract
A 47-year-old man had had a lot of asymptomatic vascular spiders on the trunk and arm from 2002 when he had been pointed out alcoholic liver cirrhosis. These lesions showed typical unilateral distribution on the right side of upper chest, arm, shoulder and upper back associated with bilateral palmar erythema and gynecomastia. Laboratory findings, abdominal ultra sonic and abdominal computerized tomography showed alcoholic liver cirrhosis. Histopathological examination of the cutaneous lesion revealed telangiectasia of small vessels with perivascular lymphocytic infiltration in the upper dermis. Immunohistochemical staining for the estrogen receptor on the dilated vessel walls was negative. Both blood estradiol and progesterone level were normal. A diagnosis of unilateral nevoid telangiectasia (UNT) due to alcoholic liver cirrhosis was made from these findings. UNT is considered to be caused by increased estrogen level associated with pregnancy, puberty or liver disease. A nevoid predisposition may be also related to the onset of UNT. Male patients with UNT caused by liver dysfunction have been rarely reported so far.
