. Livedo reticularis

Livedo is for reticularis. It is a vasculopathy with a blue and red-like appearance on the body, on the legs, on the legs, and the skin. Livedo begins with a spasm after a cold or emotional stimulation in the reticularist, and tissue oxygen pressure decreases. In cases of prolonged spasm, microvascular thrombosis develops.

LIVEDO RETICULARIS FORMS

Kutis marmoratus: It is a physiologically reversible condition that occurs in cold weather in infants and many adults.

Congenital Kutis marmorata telangiecthesis: Vascular lesions on localized or widespread permanent skin seen after birth.

Primary livedo reticularis: It is the form that is generally seen in benign adults with unknown cause. It rarely requires treatment.

Secondary livedo reticularis: It is defined as livedo developing due to a systemic disease and has many reasons.

SECONDARY LIVEDO RETICULARIS

Form of occlusion in the vessel due to vasculopathy:

• Antiphospholipid syndrome: a reaction against phosphoritis, a type of fat in the body. Depending on this, clot formation in veins
• Cryoglobulinemia: It is the formation of microvascular accumulation due to the cold effect of antibodies in the defense system.
• Multiple myeloma
• Antithrombin III deficit
• Protein C or S deficiency
• Deep vein occlusion

Figure 1,2. Livedo reticularis

Vasculitis form due to autoimmune connective tissue diseases

• Systemic lupus erythiosis
• Dermatomyositis
• Rheumatoid arthritis
• Polyarteritis nodosa
• Temporal arteritis
• Sjögren's syndrome
• Neurological diseases
• Multiple skleroz
• Parkinson's disease
• Infections
• Tuberculosis
• Syphilis
• Hepatis B-C
• Rheumatic fever
• Various bacterial infections
• Tumors
• Kidney tumors
• Breast cancer
• Lymphoma
• Leukemia

Other causes of Livedo reticularis

• Hypercalcaemia
• Pancreatitis
• Septic embolism
• Burger disease
• Fat embolism

Diagnosis of Livedo reticles

The diagnosis is made by skin biopsies taken from the lesions.

Livedoreticularis treatment

Treatment options suitable for the above etiological causes are applied.

Prof.Dr.ilhan Gölbaşı