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2024, Vol: 14, Issue: 1
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Case Report 


A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine

Farheen Kahkashan Ahmed, Kallappa Chennappa Herakal, Karjigi Siddalingappa, Mohammed Abdul Samad.


Abstract
Livedoid vasculopathy (LV) is a dermatopathy characterized by skin ulceration consequential to chronic thombo-occulusive process. It is sometimes idiopathic or occurs consociated with chronic venous disease, thrombophelibitis, hyper coagulable state, protein C deficiency, factor VII deficiency, antiphospholipid antibody syndrome and hyperhomocystinemia. LV presents as grouped, painful, voilaceous macules, papules and patches with a proclivity to ulcerate over a long span of time. Dependent sites of the legs are affected, often bilaterally. Discrete ulcers are painful, small, angulated and coalesce at places to form bigger ulcers. On healing they leave behind atrophic, porcelain scars, surrounded by telangiectasia termed "atrophie blanche". We present a case of LV in a 22 year old female who presented with painful ulcers around the ankles for 8 months. Ulcers were covered with thick crust, and were painful on palpation. Skin biopsy revealed dermal vessel walls thickening and hyaline changes and their lumen had fibrin deposition, intra-luminal thrombosis, thus confirming the diagnosis of livedoid vasculopathy. Ulcers healed on treatment with pentoxifylline and colchicine.

Key words: Atrophie blanche, Livedoid vasculopathy, Small vessel venulitis, Ulcer


 
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How to Cite this Article
Pubmed Style

Ahmed FK, Herakal KC, Siddalingappa K, Samad MA. A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine. J Med Allied Sci. 2020; 10(2): 129-132. doi:10.5455/jmas.108897

Web Style

Ahmed FK, Herakal KC, Siddalingappa K, Samad MA. A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine. https://jmas.in/?mno=108897 [Access: September 12, 2024]. doi:10.5455/jmas.108897

AMA (American Medical Association) Style

Ahmed FK, Herakal KC, Siddalingappa K, Samad MA. A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine. J Med Allied Sci. 2020; 10(2): 129-132. doi:10.5455/jmas.108897


Vancouver/ICMJE Style

Ahmed FK, Herakal KC, Siddalingappa K, Samad MA. A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine. J Med Allied Sci. (2020), [cited September 12, 2024]; 10(2): 129-132. doi:10.5455/jmas.108897


Harvard Style

Ahmed, F. K., Herakal, . K. C., Siddalingappa, . K. & Samad, . M. A. (2020) A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine. J Med Allied Sci, 10 (2), 129-132. doi:10.5455/jmas.108897


Turabian Style

Ahmed, Farheen Kahkashan, Kallappa Chennappa Herakal, Karjigi Siddalingappa, and Mohammed Abdul Samad. 2020. A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine. Journal of Medical and Allied Sciences, 10 (2), 129-132. doi:10.5455/jmas.108897


Chicago Style

Ahmed, Farheen Kahkashan, Kallappa Chennappa Herakal, Karjigi Siddalingappa, and Mohammed Abdul Samad. "A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine." Journal of Medical and Allied Sciences 10 (2020), 129-132. doi:10.5455/jmas.108897


MLA (The Modern Language Association) Style

Ahmed, Farheen Kahkashan, Kallappa Chennappa Herakal, Karjigi Siddalingappa, and Mohammed Abdul Samad. "A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine." Journal of Medical and Allied Sciences 10.2 (2020), 129-132. Print. doi:10.5455/jmas.108897


APA (American Psychological Association) Style

Ahmed, F. K., Herakal, . K. C., Siddalingappa, . K. & Samad, . M. A. (2020) A case of ulcerative livedoid vasculopathy treated successfully with pentoxifylline and colchicine. Journal of Medical and Allied Sciences, 10 (2), 129-132. doi:10.5455/jmas.108897


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