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A Surgical Experience of Livedo Vasculitis: A Case Report  

Choi, Won Seok (Department of Plastic and Reconstructive Surgery, College of Medicine, Daegu Catholic University)
Park, Dae Hwan (Department of Plastic and Reconstructive Surgery, College of Medicine, Daegu Catholic University)
Song, Chul Hong (Department of Plastic and Reconstructive Surgery, College of Medicine, Daegu Catholic University)
Publication Information
Archives of Plastic Surgery / v.33, no.5, 2006 , pp. 666-668 More about this Journal
Abstract
Purpose: Livedo vasculitis is recurrent painful ulceration of the feet, ankles and legs characterized by purpuric papules and plaques that undergo superficial necrosis and healing with residual white atrophic scars (atrophie blanche). The typical histopathologic findings of livedo vasculitis are characterized by endothelial proliferation and hyaline degeneration along with thrombosis of dermal vessels. Standard therapeutic strategies for treatment of livedo vasculitis are usually on the basis of rheologic, anti-inflammatory or immnosuppressive treatments, a aspirin, dipyridamole, glucocorticosteroids, pentoxyfylline, or high-dose intravenous immunoglobulin are often ineffective or partially effective. Methods: We report a case of 24-year-old male patient with livedo vasculitis on the ankles and dorsal surfaces of both feet. Results: The lesion that had been unresponsive to medical treatment were successfully healed with complete debridement and skin grafting without recurrences. Conclusion: Surgical treatment can be one of the therapeutic choice in Livedo vasculitis.
Keywords
Livedo vasculitis; Skin graft;
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1 Schornick JK, Nicholes BK, Bergstresser PR, Gilliam JN: Idiopathic atrophie blanche. J Am Acad Dermatol 8: 792, 1983
2 Milesone LM, Braverman IM, Lucky P, Fleckman P: Classification and therapy of atrophie blanche. Arch Dermatol 119: 963, 1983
3 Drucker CR, Duncan we.: Antiplatelet therapy in atrophie blanche and livedo vasculitis. J Am Acad Dermatol 7: 359, 1982
4 Schroeter AL, Diaz-Perez JL, Winkelmann RK, Jordan RE: Livedo vasculitis(the vasculitis of atrophie blanche): Immunohistopathologic study. Arch Dermatol 111: 188, 1975   DOI   ScienceOn
5 Schanz S, Ulmer A, Fierlbeck G: Intravenous immunoglobulin in livedo vasculitis: a new treatment option? J Am Acad Dermatol 49: 555, 2003   DOI   ScienceOn
6 Cabbabe EB, Gift SD: Leg ulcerations in livedoid vasculitis. Plast Reconstr Surg 75: 888, 1985
7 Abraham Z, Rozenbaum M, Portnoy E, Rosner I: Severe livedo vasculitis treated with potassium iodide. Rheumatol Int 23: 96, 2003
8 Son KD, Chang DM, Lee PK, Kim YJ, Lee CK, Lim P: Surgical treatment of livedo vasculitis. J Korean Soc Plast Reconstr Surg 25: 697, 1998