Livedo reticularis (LR) is a bluish-purple discoloration that presents with a net-like pattern on the skin of the arms, legs, buttocks, or back.
Livedo reticularis can be classified as Idiopathic (ILR), which usually disappears with rewarming of the skin, or as Secondary or Symptomatic (SLR), which is a manifestation on the skin of more serious systemic disease and is also known as Livedo Racemosa. Some examples of the disorders that can be associated with this last category of LR are conditions of vascular obstruction (artheriosclerosis, polyarteritis nodosa, rheumatoid vasculitis), conditions related with changes in viscosity (thrombocythemia, cryoglobulinemia, lupus erythematosus, anticardiolipin syndrome), and the chronic use of some medications (amantadine, quinine,
Diagnosis of LR can be done clinically, but in some occasions, different biopsy techniques are employed to confirm it. Treatment is not necessary for ILR but can be very beneficial for guests with SLR. For guests with both types of LR it is recommended to avoid cold temperatures.
At Florida Skin Center our professionals can diagnose and, if needed, treat this condition. Please contact our office if you experience the symptomatic presentation pattern of Livedo reticularis and would like the expert opinion of one of our providers.