Livedoid Vasculopathy Presenting in a Patient With Sickle Cell Disease

Heather Reagin, Etan Marks, Stephen Weis, Joseph Susa

Research output: Contribution to journalArticle

Abstract

We report a case in which a 43-year-old African American male with medical history of sickle cell disease (SCD) presented with a nonhealing ulcer. Biopsy revealed features of livedoid vasculopathy. Previously, livedoid vasculopathy had only been described in a patient with sickle cell trait, but never in a patient with SCD. Livedoid vasculopathy most commonly affects the distal lower extremities and is characterized by irregular, punched-out, painful ulcers that heal with stellate white scars of atrophie blanche. Histologically, it reveals segmental hyalinizing vessels, focal thrombosis, and endothelial proliferation. The etiology is currently unclear, but it has been shown to be related to procoagulant states and a diagnosis of livedoid vasculopathy should prompt a thorough hypercoagulable workup, including testing for SCD in high-risk patients.

Original languageEnglish
Pages (from-to)682-685
Number of pages4
JournalAmerican Journal of Dermatopathology
Volume40
Issue number9
DOIs
StatePublished - 1 Sep 2018

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Sickle Cell Anemia
Ulcer
Sickle Cell Trait
African Americans
Cicatrix
Lower Extremity
Thrombosis
Biopsy

Keywords

  • Livedoid vasculopathy
  • atrophie blanche
  • leg ulcers
  • livedoid vasculitis
  • sickle cell disease

Cite this

Reagin, Heather ; Marks, Etan ; Weis, Stephen ; Susa, Joseph. / Livedoid Vasculopathy Presenting in a Patient With Sickle Cell Disease. In: American Journal of Dermatopathology. 2018 ; Vol. 40, No. 9. pp. 682-685.
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Livedoid Vasculopathy Presenting in a Patient With Sickle Cell Disease. / Reagin, Heather; Marks, Etan; Weis, Stephen; Susa, Joseph.

In: American Journal of Dermatopathology, Vol. 40, No. 9, 01.09.2018, p. 682-685.

Research output: Contribution to journalArticle

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