Ulcerative livedoid vasculopathy responding to clopidogrel

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Presentation transcript:

Ulcerative livedoid vasculopathy responding to clopidogrel Elaine Kunzler, BS, Benjamin F. Chong, MD, MSCS JAAD Case Reports Volume 4, Issue 2, Pages 203-205 (March 2018) DOI: 10.1016/j.jdcr.2017.09.003 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Stellate, noninflammatory retiform purpuric patches with central necrosis on the medial arch of the left foot at the time of hospital admission. JAAD Case Reports 2018 4, 203-205DOI: (10.1016/j.jdcr.2017.09.003) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Occlusion of the lumina of nearly all small dermal vessels by hyalinized thrombi, with overlying epidermal necrosis and scant karyorrhectic nuclear debris. JAAD Case Reports 2018 4, 203-205DOI: (10.1016/j.jdcr.2017.09.003) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Ulcer with rolled, erythematous borders measuring 1.5 × 2.3 cm on left medial foot 2 months after hospitalization. JAAD Case Reports 2018 4, 203-205DOI: (10.1016/j.jdcr.2017.09.003) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 Complete re-epithelialization of ulcers 4 months after starting clopidogrel, 75 mg daily. JAAD Case Reports 2018 4, 203-205DOI: (10.1016/j.jdcr.2017.09.003) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions