A Surgical Experience of Livedo Vasculitis: A Case Report

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.