What causes visible telangiectasias on my arms?

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Last updated: February 18, 2025View editorial policy

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Differential Diagnosis for Visible Red Blood Vessels on Arms

  • Single Most Likely Diagnosis

    • Telangiectasias: These are small, dilated blood vessels near the surface of the skin, often appearing as red spots or lines. They are very common and can be caused by a variety of factors including aging, sun exposure, and genetics. Their appearance on the arms could be due to these factors, making them a likely explanation for visible red blood vessels.
  • Other Likely Diagnoses

    • Eczema or Dermatitis: Inflammatory skin conditions like eczema can cause the skin to become red and irritated, making blood vessels more visible.
    • Rosacea: A chronic skin condition characterized by facial redness, but it can also affect other areas, including the arms, leading to visible blood vessels.
    • Sunburn: Prolonged exposure to the sun can cause sunburn, leading to inflammation and making blood vessels more visible.
    • Cold Temperatures: Exposure to cold can cause blood vessels to dilate, making them more visible under the skin.
  • Do Not Miss Diagnoses

    • Systemic Lupus Erythematosus (SLE): An autoimmune disease that can cause a variety of skin manifestations, including a malar rash and vasculitis, which could lead to visible blood vessels.
    • Vasculitis: Inflammation of the blood vessels, which can be caused by various conditions, including autoimmune diseases and infections. It can lead to visible blood vessels and is a critical diagnosis not to miss due to its potential severity.
    • Sjögren's Syndrome: An autoimmune disorder that can cause skin manifestations, including telangiectasias and vasculitis.
  • Rare Diagnoses

    • Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu Syndrome): A rare genetic disorder that leads to abnormal blood vessel formation, which can cause visible telangiectasias.
    • Sturge-Weber Syndrome: A rare condition characterized by a port-wine stain (a birthmark) and often associated with neurological and ocular abnormalities. It can cause visible blood vessels due to the abnormal formation of blood vessels in the skin.
    • Klippel-Trenaunay Syndrome: A rare congenital condition characterized by port-wine stains, varicose veins, and soft tissue hypertrophy, which can lead to visible blood vessels.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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