Livedo Reticularis
- 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 antiphospholipid antibodies
- +/- anticardiolipin antibodies
- Dx confirmed by biopsy
Types
Idiopathic
- Benign. Young women. Winter only.
Secondary
- SLE, RA, PAN
- Lymphoma
- TB
- Clotting (antiphospholipid syndrome)
Management
- If no acute thrombotic complication: refer GP to arrange OPD
- Eliminate risks (smoking, OCP, hypertension, +/- Statin)
- Aspirin in most
- Warfarin if thrombotic state
