B. LYCKA, M.D.
To the editor: The findings of Fallon and associates ( 1 ) of telangiectasia and erythema on the anterior chest in homosexual men are most interesting, because they occur in persons both positive and negative for the human immunodeficiency virus, making a causal relationship unlikely. The authors state that a cause remains to be elucidated, so I would like to speculate on this matter.
Telangiectases represent vascular dilations. They are seen in many diseases, but two that are associated with erythema are mastocytosis and carcinoid syndromes (2, 3). Both result from vasodilating polypeptides: histamine in the former and serotonin in
LYCKA B. Amyl and Butyl Nitrites and Telangiectasia in Homosexual Men. Ann Intern Med. ;106:476. doi: 10.7326/0003-4819-106-3-476_1
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Published: Ann Intern Med. 1987;106(3):476.
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