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Image Number 1716 (Livedoid vasculopathy)

 
Morphology:
Ulcer

Diagnosis: Livedoid vasculopathy

Site: Ankle

Sex: F

Age: 45

Type: Clinical

Description: Stellate ulcers.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History:

 A middle-aged woman presented with painful ulcers on a background of purpuric erythematous rash involved both lower legs of six months duration. The ulcers were shallow and painful and leaving atrophic stellate scars (atrophie blanche) on healing. Blood coagulability and fibrinolytic tests were normal and skin biopsy showed focal hyalinizing vasculopathy involving the small vessels in the mid and lower dermis.



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