I often treat this POC with a combination of topical and laser treatments. This pigmentation is a combination of brown skin pigment and the pigment from dead red blood cells (hemosiderin). Since the blood vessels here are leaky, there is often some inflammation which results in some brown pigment mixing with the red veins. Once the redness appears, it stays and continues to get worse. This proves that sun-exposure for most of us occurs primarily in the car and not at the beach. For people who drive a car a reasonable amount, the redness is greater on the left side (assuming they do not live in England where people drive on the right side of the car). The area under the chin is spared, because the chin blocks the sun in this central area. This redness on the side of the neck results from long-term sun-exposure. A common complaint with an uncommon name is sun-induced redness on the sides of the neck, called ‘Poikiloderma of Civatte’ (POC).
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