Mucosal and Periungual Telangiectasia as Signs of Systemic Disease.

Telangiectasias are a typical feature of systemic sclerosis, mostly in localized variant, and often involve lips and palms.1 However, they can be present in other connective tissue diseases or familiar disorders as hereditary hemorrhagic telangiectasia and Peutz-Jeghers syndrome.2 Nail fold capillary abnormalities, sclerodactyly and digital pitting scars are useful in supporting the diagnosis.3 The frequent internal involvement, with pulmonary disease being the leading cause of death, justifies the importance of high clinical suspicion and close monitoring of these patients. Mucosal and Periungual Telangiectasia as Signs of Systemic Disease