Abstract

BRUSA, JR et al. Livedoid vasculopathy, the tip of the iceberg: a case report. Rev. argent. dermatol. [online]. 2021, vol.102, n.2, pp.1-10. ISSN 1851-300X.

Livedoid vascular disease (VL), is an occlusive vascular disease that affects the microvasculature, is characterized by being recurrent and non-inflammatory. Its incidence is 1 / 100,000 cases per inhabitant, affecting mostly middle-aged women. Its pathogenesis is unknown, but its thrombotic component stands out, caused by a state of hypercoagulability, which leads to vascular occlusion, and a primary and secondary form must be distinguished. Clinically, painful ulcers are observed at the malleolar level, progressing progressively to characteristic atrophic, pearly whitish and starry healing. We present a clinical case in a male with multiple comorbidities and difficult management, which required multidisciplinary work.

Keywords : Painful skin ulcer; White Atrophy; Hypercoagulability; Vascular Occlusion.

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