Poikiloderma Sivatta: causes, treatment and prevention

Poikiloderma is a generic collective term that means
skin atrophy. The word poikiloderma is of Greek origin and
consists of two parts: the first part of the word means “poikilos”
– motley, spotted, and the second part – “derma” – skin.  So
poikiloderma means “mottled skin”.
Poikiloderma Sivatta is a disease that is characterized by
the appearance on the skin of numerous pigmented
(reddish brown), depigmented (white) spots and
multiple vascular branches (telangiectasia).
The combination of spots give the skin an extraordinary motley look, with
intricate lace or mesh pattern. Other name
diseases – reticular pigmental poikiloderma of the face and neck. First
The disease has been described by the French dermatologist Sivatt. This
pathology is not hereditary.


  • Causes of disease
  • Symptoms of poykiloderma Civat
  • Diagnosis of poykiloderma Civat
  • Treatment of poykiloderma Civat
  • Prevention and prognosis of the disease

Causes of disease

Poikiloderma Sivatta – a little-studied disease with an unknown
etiology. Earlier it was thought that Poikiloderma Civatt
is a kind of melanosis Rila or as they call
this pathology is “wartime melanosis”. Implied that
this disease occurs during wars and is due to
poor nutrition and lack of food. However, later
research has rejected this theory since poikiloderma civatt
occurs in peacetime in people living in good conditions and
not lacking in food.


The pathogenesis and causes of the disease were not identified. But there are a number
factors that can trigger the disease:

  • avitaminosis (lack of vitamins in everyday food);
  • toxic – allergenic agents that can cause allergies,
    intoxication and poisoning of the body;
  • UV radiation;
  • wearing on the body of chains of different alloy, especially nickel.

Symptoms of poykiloderma Civat

The clinical picture of the disease is expressed in the appearance
pigment spots on different parts of the body. The first symptoms of the disease
appear most often in the form of branched vascular lesions
(telangiectasia), light smallpox and exudative multiforme
erythema (IEE). The disease begins with the formation of pigment
spots that have a tendency to merge, forming extensive
conglomerates with a mesh pattern. On the affected areas also
nodules appear that are a symptom
keratosis. After some time, signs are noticed on the skin.
atrophy. Sometimes patients have symptoms of general
malaise: loss of appetite, weakness, headache.

Diagnosis of poykiloderma Civat

The disease is diagnosed by visual clinical examination.
Requires differential diagnosis of poykiloderma Civatt
with the following diseases:

  • lichen planus, in which rashes do not form
    only on the skin, but also on the mucous membranes;
  • Rotmund-Thompson syndrome (hereditary poikiloderma by
    autosomal dominant type);
  • vitiligo;
  • chloasma;
  • teardrop-shaped hypomelanosis;
  • Rila’s toxic melanosis (both diseases are identified by
    clinical and histological features).

Treatment of poykiloderma Civat

Since the causes of this disease are unknown,
The treatment strategy is to alleviate the symptoms and
preventive measures. It includes the following

  1. When topical treatment is recommended the use of external
    topical steroid remedies: medical ointments, creams, and in the case of
    inflammation of the spots using lotion with a solution of resorcinol or
  2. Reception of vitamin complexes and fortifying means,
    contribute to the improvement of metabolic processes occurring in
    the body.
  3. Skin protection from the harmful effects of ultraviolet radiation
    done with high factor sunscreens
    SPF protection of at least 50.
  4. Avoid contact with toxic and allergic
  5. Do not wear jewelry made of metal alloys (when
    the presence of allergies).

To reduce the intensity of pigmentation applied laser
therapy. Good result gives treatment of poykiloderma Civatt
folk remedies. But before implementing alternative
treatment methods need to consult with
dermatologist. Even treatment with folk remedies should
be monitored by a doctor and take place under his supervision.


There are the following recipes of traditional medicine for outdoor
treatment of poykiloderma sivatta:

  1. A mixture of potato starch and lemon juice. In equal
    proportions take potato starch and lemon juice, then
    mix the ingredients until a homogeneous slurry is formed. Mixture
    impose on the affected skin.
  2. Lubrication of affected skin with fruit and vegetable juice
    (pomegranates, cucumbers and birch buds). Very effective lotion from
    juice, squeezed parsley leaves and stalk. Parsley Juice
    soothes irritated skin and whitens effectively
    pigmented areas.
  3. Curative mixture of yogurt and oatmeal soothes
    irritated skin and whiten pigmentation. For this you need
    grind the oatmeal to the consistency of flour, then mix in equal
    proportions from yogurt to a creamy state.
  4. It is advisable to apply inside the decoction of wild rose and flowers.
    elderberry. At 500 gr. water take 5-10 dry berries of wild rose or 5-7
    elder constellations. Warm broth drink half a glass two times
  5. For external treatment, a mixture of 3% peroxide is used.
    hydrogen, white soap and liquid ammonia shavings. For this take
    following proportions: a tablespoon of hydrogen peroxide, three drops
    ammonia and a teaspoon of white soap shavings. Everything
    the ingredients are mixed, whipped into a foam until smooth,
    then applied for 20 minutes on the affected skin. After that
    as the mask was washed off, a moisturizer is applied to the skin.

Prevention and prognosis of the disease

Preventive measures that prevent the development of Civatt’s disease,
include the following steps:

  • it is necessary to protect the skin from ultraviolet radiation by
  • avoid direct sunlight on the affected
    skin patches;
  • avoid contact with toxic and allergenic agents;
  • abandon jewelry from alloys, which include

The prognosis is favorable. Subject to all
recommendations of the doctor, regress of the disease is noticed, but
renewal of adverse factors possible relapse.

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