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Cutaneous mastocytosis is characterized by the proliferation and accumulation of mast cells in the skin and is characterized by five subtypes including urticarial pigmentosa, diffuse cutaneous mastocytosis, bullous mastocytosis, solitary mastocytoma and Telangiectasia macularis eruptive perstans (TMEP). TMEP is a rare disease, found in less than 1% of patients with cutaneous mastocytosis [1]. It affects predominantly adults and is characterized by erythematous and/ or yellow-brownish macules with telangiectasias, preferably located on the trunk and upper limbs. Darier sign (urticaria after the friction of a lesion) is absent in most cases. Dermoscopy reveals a characteristic vascular pattern in TMEP thereby aiding in diagnosis.

Telangiectasia macularis eruptive perstans under the dermoscope in the skin of color