Ischemic neuropathy associated with livedoid vasculitis

J Clin Neurol. 2011 Dec;7(4):233-6. doi: 10.3988/jcn.2011.7.4.233. Epub 2011 Dec 29.

Abstract

Background: Livedoid vasculitis is a chronic dermatological problem with an unclear etiology. Clinical findings are petechiae with painful ulcers in both lower extremities, which heal to become hyperpigmented and porcelain-white satellite lesions. There are only a few reported cases of livedoid vasculitis presenting in combination with peripheral neuropathy.

Case report: We report the first case of a Korean patient presenting with mononeuritis multiplex combined with livedoid vasculitis, which was confirmed by electrophysiological and pathological studies.

Conclusions: Our report supports the possible vaso-occlusive etiology of livedoid vasculitis in multifocal ischemic neuropathy.

Keywords: livedoid vasculitis; livedoid vasculopathy; mononeuritis multiplex; multifocal ischemic neuropathy.