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Related Experiment Videos

Vascular ulcers in scleroderma.

J R Thomas, R K Winkelmann

    Archives of Dermatology
    |October 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Scleroderma patients with lower extremity ulcers and specific skin lesions may have underlying vascular disease. Early examination is crucial for diagnosing conditions like livedoid vasculitis or endarteritis obliterans.

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    Area of Science:

    • Dermatology
    • Rheumatology
    • Vascular Medicine

    Background:

    • Scleroderma is a chronic autoimmune disease characterized by hardening and tightening of the skin.
    • Lower extremity ulcers can be a debilitating complication in patients with scleroderma.
    • Associated skin findings like livedo reticularis and atrophie blanche may indicate underlying pathology.

    Observation:

    • Seven patients with scleroderma presented with lower extremity ulcers.
    • These patients also exhibited livedo reticularis or atrophie blanche skin lesions.
    • Associated conditions included livedoid vasculitis, periarteritis nodosa, and endarteritis obliterans.

    Findings:

    • Five patients had livedoid vasculitis, one had lupus panniculitis, and one had rheumatoid arthritis.

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  • Laboratory findings included elevated erythrocyte sedimentation rates (ESRs) and positive antinuclear antibody (ANA) and rheumatoid factor (RF) tests in some patients.
  • The presence of scleroderma with livedoid vasculitis or livedo reticularis and ulcers suggests potential underlying vascular disease.
  • Implications:

    • Patients with scleroderma, livedoid vasculitis, livedo reticularis, and ulcers require thorough evaluation for vascular disease.
    • Diagnosing conditions such as endarteritis obliterans is critical for appropriate management.
    • This highlights the importance of a multidisciplinary approach in managing complex scleroderma cases.