Unilateral Telangiectasia Macularis Eruptiva Perstans of the Breast

We report the case of a 22-year-old female with an asymptomatic telangiectatic rash involving her left breast of 10 years' duration. Biopsies revealed findings consistent with telangiectasia macularis eruptiva perstans (TMEP). Telangiectasia macularis eruptiva perstans most often presents in a symmetric fashion; our patient represents an unusual case of unilateral TMEP involving the breast. Therefore, TMEP should be considered when a patient presents with telangiectasia, even if presentation is unilateral.