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Livedoid Vasculopathy with Hyperhomocysteinemia Responding to Hyperbaric Oxygen Therapy
Rahul Ray1, Aseem Sharma1, Biju Vasudevan1
1Department of Dermatology, INHS Asvini, Mumbai, Maharashtra, India.
Indian Journal of Dermatology
|November 6, 2015
Summary
This case study highlights hyperbaric oxygen therapy as a novel treatment for livedoid vasculopathy, a rare leg ulcer condition. The therapy showed significant improvement in a patient with chronic, recurrent ulcers.
Area of Science:
- Dermatology
- Vascular Medicine
Background:
- Livedoid vasculopathy is a rare chronic condition causing painful leg ulcers.
- It often presents with a reticular pattern and can lead to scarring.
Purpose of the Study:
- To present a case of livedoid vasculopathy treated with hyperbaric oxygen therapy.
- To explore hyperbaric oxygen therapy as a novel treatment option for this condition.
Main Methods:
- A 30-year-old male with a 6-year history of leg ulcers underwent investigation.
- Skin biopsy confirmed livedoid vasculopathy with elevated homocysteine levels.
- The patient received hyperbaric oxygen therapy after recurrence post-corticosteroid treatment.
Main Results:
- The patient exhibited multiple ulcers in a reticular pattern on both lower legs, ankles, and feet.
- Hyperbaric oxygen therapy led to a very good response in ulcer healing.
- This treatment offers a novel approach for recalcitrant livedoid vasculopathy.
Conclusions:
- Hyperbaric oxygen therapy is a promising novel treatment for livedoid vasculopathy.
- This case adds to the limited literature on hyperbaric oxygen therapy for this rare condition.
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