Abstract: The data of 8 male patients with telangiectasia macularis multipiex acquisita (TMMA) was retrospectively analyzed. The average age was 48.2 years. All the patients presented with expanded capillary among erythemas on the double upper limbs, chest and back. The lesions can get worse after friction and drinking. There was no specificity of histopathology and toluidine blue stain was negative in all patients. Five patients were misdiagnosis as telangiectasia macularis eruptive acquisita, two as capillary dilated purpura and one as scleroderma. The treatment with hirudoid, butylphenyl hydroxylate cream, tacrolimus or pimimox cream was ineffective.