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`!Poikiloderma`! is a skin condition that consists of areas of `F33f`_`[hypopigmentation`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Hypopigmentation]`_`f, `F33f`_`[hyperpigmentation`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Hyperpigmentation]`_`f, `F33f`_`[telangiectasias`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Telangiectasias]`_`f and `F33f`_`[atrophy`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Atrophy]`_`f. Poikiloderma of Civatte is most frequently seen on the chest or the neck, characterized by red colored pigment on the skin that is commonly associated with sun damage.`:cite-ref-1[`F5bf`_`[1`#cite-note-1]`_`f]
>>Contents
• `F0af`_`[Types`#types]`_`f
• `F0af`_`[Causes`#causes]`_`f
• `F0af`_`[Pathogenesis`#pathogenesis]`_`f
• `F0af`_`[Diagnosis`#diagnosis]`_`f
• `F0af`_`[Treatment`#treatment]`_`f
• `F0af`_`[See also`#see-also]`_`f
• `F0af`_`[References`#references]`_`f
-─
>>Types
• `F33f`_`[Poikiloderma vasculare atrophicans`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Poikiloderma_vasculare_atrophicans]`_`f
• `F33f`_`[Poikiloderma of Civatte`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Poikiloderma_of_Civatte]`_`f
• `F33f`_`[Hereditary sclerosing poikiloderma`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Hereditary_sclerosing_poikiloderma]`_`f
>>Causes
• Congenital
1. `F33f`_`[Rothmund-Thompson syndrome`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Rothmund-Thompson_syndrome]`_`f
2. `F33f`_`[Dyskeratosis congenita`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Dyskeratosis_congenita]`_`f
3. `F33f`_`[Mendes da Costa syndrome`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Mendes_da_Costa_syndrome]`_`f
• Other hereditary causes
1. `F33f`_`[Degos-Touraine syndrome`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Degos-Touraine_syndrome]`_`f
2. Diffuse and macular atrophic `F33f`_`[dermatosis`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Dermatosis]`_`f
3. `F33f`_`[Hereditary sclerosing poikiloderma`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Hereditary_sclerosing_poikiloderma]`_`f of weary
4. `F33f`_`[Kindler syndrome`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Kindler_syndrome]`_`f
5. `F33f`_`[Xeroderma pigmentosum`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Xeroderma_pigmentosum]`_`f
• Acquired
1. Injury to cold, heat, ionizing radiation, exposure to sensitizing chemicals
2. `F33f`_`[Lichen planus`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Lichen_planus]`_`f
3. `F33f`_`[Dermatomyositis`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Dermatomyositis]`_`f
4. `F33f`_`[Lupus erythematosus`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Lupus_erythematosus]`_`f
5. `F33f`_`[Systemic sclerosis`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Systemic_sclerosis]`_`f
6. `F33f`_`[Cutaneous T cell lymphomas`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Cutaneous_T_cell_lymphoma]`_`f
>>Pathogenesis
The exact cause of poikiloderma of Civatte is unknown; however, extended sun exposure, namely the `F33f`_`[ultraviolet light`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Ultraviolet_light]`_`f emitted by the sun, is the primary factor.`:cite-ref-2[`F5bf`_`[2`#cite-note-2]`_`f]
>>Diagnosis
>>Treatment
Albeit difficult, treatment of poikiloderma of Civatte involves the delivery of multiple wavelengths of intense pulsed light (IPL) to the affected area.`:cite-ref-3[`F5bf`_`[3`#cite-note-3]`_`f]
>>See also
• `F33f`_`[Osteopoikilosis`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Osteopoikilosis]`_`f
• `F33f`_`[List of cutaneous conditions`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=List_of_cutaneous_conditions]`_`f
• `F33f`_`[POIKTMP syndrome`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=Hereditary_fibrosing_poikiloderma_with_tendon_contractures,_myopathy,_and_pulmonary_fibrosis]`_`f
>>References
`:cite-note-1`!1.`! `F0af`_`[↑`#cite-ref-1]`_`f `:citerefraulinkarsai2011`aRaulin, Christian; Karsai, Syrus (2011). `*Laser and IPL Technology in Dermatology and Aesthetic Medicine`*. Springer Science & Business Media. p. 236. `F33f`_`[ISBN`:/page/wikibook/entry.mu`zim=wikipedia_en_all_nopic_2025-08.zim|entry_path=ISBN_(identifier)]`_`f 9783642034381. Retrieved 7 March 2018.
`:cite-note-2`!2.`! `F0af`_`[↑`#cite-ref-2]`_`f American Osteopathic College of Dermatology "Dermatologic Disease Database", `*aocd.org`*, referenced July 22, 2011.
`:cite-note-3`!3.`! `F0af`_`[↑`#cite-ref-3]`_`f PubMed.gov "Treatment of poikiloderma of Civatte with an intense pulsed light source", `*PubMed.gov`*, referenced July 22, 2011.
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