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Atrophie blanche: is it associated with venous disease or livedoid vasculopathy?
Afsaneh Alavi1, Jurg Hafner, Jan P Dutz
1Afsaneh Alavi, MD, MSc • Lecturer • Department of Medicine (Dermatology), University of Toronto • Ontario, Canada Jurg Hafner, MD • Professor of Dermatology and Venereology, Senior Staff Physician • Department of Dermatology, University Hospital of Zurich • Switzerland Jan P. Dutz, MD • Professor • Department of Dermatology and Skin Science, University of British Columbia • Vancouver, Canada Dieter Mayer, MD • Associate Professor • Vascular Surgery • Head of Wound Care • University Hospital of Zurich • Switzerland R. Gary Sibbald, BSc, FRCPC(Med Derm), MACP, FAAD, MAPWCA • Professor of Medicine and Public Health • University of Toronto • Ontario, Canada Paulo Ricardo Criado, MD, PhD • Professor • Dermatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo • Brazil Patricia Senet, MD • Associate Professor • Department of Dermatology, Assitance Pubique-Hôpitaux de Paris • France Jeffery P Callen, MD • Professor of Medicine and Chief • Division of Dermatology, University of Louisville • Kentucky Tania J Phillips, MD • Professor • Department of Dermatology, Boston University School of Medicine • Massachusetts Marco Romanelli, MD, PhD • Professor • Department of Dermatology, University of Pisa • Italy Robert S Kirsner, MD, PhD • Professor and Vice Chair • Department of Dermatology, University of Miami Miller School of Medicine • Florida.
Purpose:
The purpose of this learning activity is to provide information about the etiology and treatment of atrophie blanche.
Target Audience:
This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.
Objectives:
After participating in this educational activity, the participant should be better able to:1. Discuss the pathophysiology of atrophie blanche.2. Explore treatment options for livedoid vasculopathy.
Abstract:
Atrophie blanche (AB) is a porcelain-white scar that may be seen at the base of a healed ulcer or in association with livedoid vasculopathy (LV). The term AB originally had been used synonymously with LV, whereas LV is a noninflammatory thrombotic condition presenting as either a primary or secondary event (often associated with coagulation).
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