• Poikiloderma is most commonly seen on the neck.• The most common identifiers are redness and pigmentary changes in the skin.• Poikiloderma presents when telangiectasia on the neck or chest is combined with hyperpigmentation on the neck or chest and the skin has a mottled look. • Long-term sun exposure, photosensitive skin sprays and products, and hormonal changes can cause poikiloderma.• While it is most common in women, men can also have poikiloderma. Clients with fair skin tones are also more likely to have poikiloderma.• Poikiloderma can be treated with IPL, laser, skin lighteners, and skin exfoliants.• In order to prevent poikiloderma, a client should wear SPF and reapply sunscreen often, avoid prolonged sun exposure, avoid spraying perfume on their skin, and avoid sun and photosensitive chemicals. Referencesdermtalk.comThe Free Dictionary By Farlex. (n.d.). Poikiloderma of Civatte definition of poikiloderma of Civatte by Medical dictionary. Want to read more? Subscribe to one of our monthly plans to continue reading this article.