Livedoid vasculopathy: a compelling diagnosis.

Thiado Quadrante Freitas,Paulo Ricardo Criado,Ilana Halpern

doi:10.4322/acr.2018.034

Abstract

Livedoid vasculopathy: a compelling diagnosis.

Highlights

The goal of our letter is to catch the medical community’s eye regarding an unusual diagnosis, which may be overlooked or diagnosed late because of lack of familiarity or even knowledge on the part of the vast majority of clinicians and general practitioners
It is accepted that “livedoid vasculopathy” is an appropriate name due to its descriptive labeling, since its focal vascular occlusions are not caused by vasculitis.[2]
The clinical manifestations are recurrent and begin with a focal non-inflammatory thrombosis of the venulae of the superior superficial and medium dermis, especially on the lower extremities, bilaterally; involvement of the upper extremities has been reported.[3]. Such thrombosis leads to blood and pressure build-up in the superficial veins of the dermis, which manifests as livedo racemosa or, less frequently, livedo reticularis.[4]

Summary

Introduction

The goal of our letter is to catch the medical community’s eye regarding an unusual diagnosis, which may be overlooked or diagnosed late because of lack of familiarity or even knowledge on the part of the vast majority of clinicians and general practitioners. Lesions in different stages coexist, and early treatment may halt the development of new lesions.[2] During a period of 3 to 4 months, the ulcerations change to a porcelain-white atrophic scarring tissue with punctate telangiectasia: the so-called Milian’s atrophie blanche or capillaritis alba (Figure 1B).[3,4]

Objectives

Results

Conclusion