Poikiloderma of Civatte typically occurs on the neck and, in a v-shaped distribution, on the upper chest that includes redness and a "chicken-skin" appearance. As displayed in this image, Poikiloderma of Civatte is displayed as redness on the neck and the "v" of the chest in fair-skinned individuals.  The red areas have prominent hair follicles creating a "chicken-skin" appearance. This skin discoloration, due to chronic sun damage, has lacy areas of redness from dilated blood vessels. This image displays an extensive area of poikiloderma of Civatte, caused by sun damage, next to an unaffected, less-exposed area under the chin. This image displays a flat, pink discoloration on the neck typical of chronic sun exposure.
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Poikiloderma of Civatte  Information for adults

Picture of Poikiloderma of Civatte: Poikiloderma of Civatte typically occurs on the neck and, in a v-shaped distribution, on the upper chest that includes redness and a "chicken-skin" appearance. Divider line
Poikiloderma of Civatte typically occurs on the neck and, in a v-shaped distribution, on the upper chest that includes redness and a "chicken-skin" appearance.
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Overview
Poikiloderma of Civatte is a chronic, non-cancerous (benign) skin condition in fair-skinned adults, which is probably caused by long-term sun exposure. Poikiloderma of Civatte shows a specific pattern of color change in the skin due to sun damage to the neck and sometimes the center of the chest.
Who's At Risk
Poikiloderma of Civatte is a cosmetic problem typically affecting women more frequently than men.

This condition is more common with increased age.
Signs and Symptoms
Poikiloderma of Civatte usually affects the front and sides of the neck. The center of the chest is also sometimes affected. You will notice darkened skin color (hyperpigmentation) and lightened skin color (hypopigmentation) as well as redness (erythema). Fine blood vessels in the skin are often seen.
Self-Care Guidelines
Use sunscreens, wear sun-protective clothing, and avoid peak sun hours (between 10 AM and 3 PM) to help prevent this condition from occurring or worsening.
When to Seek Medical Care
Poikiloderma of Civatte is primarily a cosmetic condition that does not require treatment, but see your doctor if you become concerned about its appearance.
Treatments Your Physician May Prescribe
  • There are no oral or topical medications that can improve poikiloderma of Civatte, but your doctor will encourage you to use sun-protective measures as noted above to prevent it from getting worse.
  • Some types of laser therapy may improve the appearance of this condition.

References

Bolognia, Jean L., ed. Dermatology, pp.1381. New York: Mosby, 2003.

Freedberg, Irwin M., ed. Fitzpatrick's Dermatology in General Medicine. 6th ed. pp.2502. New York: McGraw-Hill, 2003.
Last Updated: 22 Dec 2008