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Generalized Livedo Reticularis: A Rare Variety
Pallavi Goyal1, Surabhi Dayal1, Priyadarshini Sahu1
1Department of Dermatology, Venereology and Leprosy, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Indian Journal of Dermatology
|February 13, 2019
Summary
Livedo reticularis (LR) is a skin condition causing a net-like rash. This case study details a 30-year-old male with persistent LR, treated with pentoxifylline and nifedipine, showing mild improvement.
Area of Science:
- Dermatology
- Pathology
Background:
- Livedo reticularis (LR) is a reticular skin discoloration.
- It can manifest with progressive ischemia and diffuse cutaneous involvement.
- LR may occur with or without systemic diseases.
Observation:
- A 30-year-old male presented with a 4-year history of asymptomatic, red, net-like rash.
- Laboratory tests were conducted to exclude systemic involvement.
- Skin biopsy revealed perivascular mononuclear cell infiltrate, arteriolar wall thickening, lumen obliteration, and dermal collagenization.
Findings:
- Histopathological findings confirmed the diagnosis of Livedo reticularis.
- The patient exhibited a chronic, widespread cutaneous presentation.
- No underlying systemic disease was identified.
Implications:
- This case highlights the diagnostic approach to Livedo reticularis.
- Treatment with oral pentoxifylline and nifedipine showed mild therapeutic benefit.
- Further research may explore optimal management strategies for chronic Livedo reticularis.
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