Medicina (Jun 2017)

Livedoid vasculopathy: a clinical case proposition

  • Luilson Geraldo Coelho Júnior,
  • Efigênia Pereira de Lourenzo Cunha,
  • Pedro Rodrigo Magalhães Negreiros de Almeida,
  • Luciana Guimarães Borges Rebello,
  • Marcos Paulo Borges Mendanha,
  • Gabrielly Borges Machado

DOI
https://doi.org/10.11606/issn.2176-7262.v50i3p191-196
Journal volume & issue
Vol. 50, no. 3

Abstract

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Livedoid vasculopathy is a chronic occlusive vasculopathy dermatosis, with a pauciinflammatory or noninflammatory characteristic, and is extremely painful. Its ethiology is not entirely known, being associated with pro-thrombotic events. Characterized by erythematous purpuric maculopapular lesions on the legs, especially on the ankles and feet, that ulcerates and heals with white atrophic scars, named atrophie blanche. Histopathology shows occlusion of dermal vases, segmental hyalinization and endothelial proliferation; there is also a discreet perivascular inflammatory infiltrate. We describe a case of livedoid vasculopathy showing the histopathological findings on the biopsy.

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