Livedo Reticularis
Clinical
- Swollen, visible medium skin veins
- Reticular mottled purplish discolouration of legs
- Coagulation (skin and pregnancy related)
- Exacerbated by cold weather
Differential Dx
- Blood dyscrasia
- Autoimmune
- CVS
- Cancers
- Endocrinopathy
Diagnosis
- Positive anti-phospholipid Ab
- ± anticardiolipin antibodies
- Dx confirmed by biopsy
Types
Idiopathic
- Benign. Young women. Winter only
Secondary
- SLE, RA, PAN
- Lymphoma
- TB
- Clotting (anti-phospholipid syndrome)
Management
- If no acute thrombotic complication: refer GP to arrange OPD
- Eliminate risks (smoking, OCP, hypertension, ± Statin)
- Aspirin in most
- Anticoagulate if thrombotic state
Content by Dr Íomhar O' Sullivan. Last review Dr ÍOS 12/04/23.
