Journal
JOURNAL OF DERMATOLOGICAL TREATMENT
Volume 19, Issue 2, Pages 121-123Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/09546630701670305
Keywords
factor V Leiden mutation; livedoid vasculopathy; oral warfarin
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Livedoid vasculopathy is characterized by painful purpuric lesions on the extremities which frequently ulcerate and heal with atrophic scarring. It has been considered to be a vasculitic process but now there has been increasing evidence that abnormal coagulation plays a major role in the pathogenesis of this rare disorder. We report the case of a 19-year-old male who had been suffering from recurrent painful ulcerations on both lower legs with atrophic scars for 4 years. A biopsy specimen revealed vasculopathy, and laboratory studies showed resistance to activated protein C with factor V Leiden mutation. Treatment with oral warfarin led to rapid improvement of the lesions.
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