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Poikiloderma Vasculare Atrophicans (PVA) and Getting Social Security Disability

Poikiloderma vasculare atrophicans (PVA) is a skin disease or cutaneous condition. It is marked by either hypopigmentation or hyperpigmentation. This means that there is either diminished or heightened pigmentation of your skin. PVA is also evidenced by small dilated blood vessels that are near mucous membranes or the surface of your skin (telangiectasia) and atrophy or wasting of your skin.

Poikiloderma vasculare atrophicans is referred to by other names. It is also called
parapsoriasis lichenoides, parapsoriasis variegata, atrophic parapsoriasis and prereticulotic poikiloderma.

Pioneer American pediatrician Abraham Jacobi was the first to describe PVA. He did so in 1906.

An underlying cause


In nearly all cases, poikiloderma vasculare atrophicans results from an underlying cause. PVA is usually brought about by skin disorders and diseases that you already have. These are skin disorders and diseases that are associated with a cutaneous (skin) lymphoma or inflammation.

Lymphoma is used to refer to any neoplastic disorder of your lymphoid tissue. A neoplastic disorder is one that involves a neoplasm. A neoplasm is an abnormal mass of tissue. The common lymphoma that researchers think results in poikiloderma vasculare atrophicans is mycosis fungoides. Mycosis fungoides is the most common kind of skin T-cell lymphoma.

There are other common causes of PVA. These include dermatomyositis, which is an inflammatory disorder of your muscle and skin) and parapsoriasis.

Less common causes


There are also less common causes of poikiloderma vasculare atrophicans. One of these is autoimmune-related connective tissue diseases like scleroderma and lupus. Autoimmune diseases are those in which your autoimmune system is not functioning like it should. Skin diseases that are not characterized by inflammation, which are genetic in nature may also be an underlying cause of PVA.

Poikiloderma vasculare atrophicans can also be idiopathic. When a disease is idiopathic it means that there is no known cause of the disease. This is true of only a small number of the cases of PVA.

There are several signs and symptoms that you may experience with poikiloderma vasculare atrophicans. These may include:

Areas of your skin that are affected appearing speckled red and inflamed, gray or grayish-black, yellowish and/or brown
Affected skin has scaling and a thinness that can be described as “cigarette paper”
Small patches on your affected skin
Large, raised areas on your affected skin (plaques)
Spreading, tumor-like growths on your affected skin (neoplasms)
Combined hypopigmentation and hyperpigmentation in the patches or plaques of your affected skin
Dilation of small blood vessels near the surface of your skin (telangiectasia)
Skin atrophy or wasting that affects the dermal and epidermal layers of your skin.

Poikiloderma vasculare atrophicans is not on the Social Security Administration’s list of impairments. However, you may still be able to qualify for Social Security disability benefits.

Because PVA has an underlying cause in most cases, that underlying cause and/or complications that have resulted from that underlying cause and/or poikiloderma vasculare atrophicans may have led to you being disabled and unable to work.

Contacting a disability attorney and letting him or her review your case is always a smart idea. A disability attorney may be able to help you get the Social Security disability benefits that are rightfully yours.


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