Abstract

Livedoid vaskulopati, livedo vaskulit, segmental hiyalinizan vaskulit, livedoid vaskulit, yaz ulserli livedo retikularis, kis ulserli livedo retikularis, Milian’in (1) beyaz atrofisi (atrophie blanche) ve alt ekstremitelerin retikuler paternli agrili purpurik lezyonlari gibi cok sayida es anlamlisi olan bir hastaliktir (1). Atrophie blanche Milian (1) tarafindan 1929 yilinda alt ekstremite cildinin duz, beyaz zeminli, etrafi hiperpigmente ve telenjiektazik damarlarla cevrili parsiyel atrofisi seklinde tanimlanmistir (2). Buyuk oranda alt ekstemite alt 1/3 kesimde ve bilateral olarak, bilek ve ayak sirtinda baslayan agrili noktasal veya lentikuler purpurik makul ve/veya papullerin goruldugu; ardindan lezyonlarin genellikle ulsere olup, haftalar, aylar suren iyilesme periyodunun ardindan porselensi beyaz atrofi ve etrafinda hiperpigmente ve telenjiektazik skar biraktigi bilinmektedir (3). Calismalarda livedoid vaskulopati prevelansi Amerika Birlesik Devletleri’nde 1/100,000’dir. Siklikla 15-50 yas araliginda, %71 oraninda kadinlarda, %80,8 oraninda bilateral gorulme egiliminde oldugu rapor edilmistir (4).

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