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Livedo

MedGen UID:
568434
Concept ID:
C0332579
Finding
Synonyms: Black and blue color; Livedoid dermatitis; Lividity
SNOMED CT: Lividity (13423002); Black and blue color (13423002); Livedo (247478000)
 
HPO: HP:0033832

Definition

A reddish-blue mottled condition of skin caused by inflammation of the cutaneous blood vessels. [from HPO]

Conditions with this feature

Sneddon syndrome
MedGen UID:
76449
Concept ID:
C0282492
Disease or Syndrome
Sneddon syndrome is a noninflammatory arteriopathy characterized by onset of livedo reticularis in the second decade and onset of cerebrovascular disease in early adulthood (summary by Bras et al., 2014). Livedo reticularis occurs also with polyarteritis nodosa, systemic lupus erythematosus, and central thrombocythemia, any one of which may be accompanied by cerebrovascular accidents (Bruyn et al., 1987).
Familial cutaneous telangiectasia and oropharyngeal predisposition cancer syndrome
MedGen UID:
482833
Concept ID:
C3281203
Neoplastic Process
Patients with this syndrome develop cutaneous telangiectases in infancy with patchy alopecia over areas of affected skin, thinning of the lateral eyebrows, and mild dental and nail anomalies. Affected individuals are at increased risk of developing oropharyngeal cancer, and other malignancies have been reported as well (Tanaka et al., 2012).
Facial dysmorphism-immunodeficiency-livedo-short stature syndrome
MedGen UID:
767490
Concept ID:
C3554576
Disease or Syndrome
FILS syndrome is characterized by mild facial dysmorphism, mainly malar hypoplasia, livedo on the skin since birth, immunodeficiency resulting in recurrent infections, and short stature (summary by Pachlopnik Schmid et al., 2012).
Intrauterine growth retardation, metaphyseal dysplasia, adrenal hypoplasia congenita, genital anomalies, and immunodeficiency
MedGen UID:
1684464
Concept ID:
C5193036
Disease or Syndrome
IMAGEI is an autosomal recessive disorder characterized by intrauterine growth retardation, metaphyseal dysplasia, adrenal hypoplasia congenita, genital anomalies, and immunodeficiency. Patients exhibit distinctive facial features and variable immune dysfunction with evidence of lymphocyte deficiency (Logan et al., 2018). An autosomal dominant form of the disorder, without immunodeficiency (IMAGE; 614732), is caused by mutation in the CDKN1C gene (600856) on chromosome 11p15.

Professional guidelines

PubMed

Uthman I, Noureldine MHA, Ruiz-Irastorza G, Khamashta M
Ann Rheum Dis 2019 Feb;78(2):155-161. Epub 2018 Oct 3 doi: 10.1136/annrheumdis-2018-213846. PMID: 30282668
Sciascia S, Amigo MC, Roccatello D, Khamashta M
Nat Rev Rheumatol 2017 Sep;13(9):548-560. Epub 2017 Aug 3 doi: 10.1038/nrrheum.2017.124. PMID: 28769114
Walling HW, Sontheimer RD
Am J Clin Dermatol 2009;10(6):365-81. doi: 10.2165/11310780-000000000-00000. PMID: 19824738

Recent clinical studies

Etiology

Sammaritano LR
Best Pract Res Clin Rheumatol 2020 Feb;34(1):101463. Epub 2019 Dec 19 doi: 10.1016/j.berh.2019.101463. PMID: 31866276
Ordi-Ros J, Sáez-Comet L, Pérez-Conesa M, Vidal X, Riera-Mestre A, Castro-Salomó A, Cuquet-Pedragosa J, Ortiz-Santamaria V, Mauri-Plana M, Solé C, Cortés-Hernández J
Ann Intern Med 2019 Nov 19;171(10):685-694. Epub 2019 Oct 15 doi: 10.7326/M19-0291. PMID: 31610549
Samanta D, Cobb S, Arya K
J Stroke Cerebrovasc Dis 2019 Aug;28(8):2098-2108. Epub 2019 May 31 doi: 10.1016/j.jstrokecerebrovasdis.2019.05.013. PMID: 31160219
Meyts I, Aksentijevich I
J Clin Immunol 2018 Jul;38(5):569-578. Epub 2018 Jun 27 doi: 10.1007/s10875-018-0525-8. PMID: 29951947Free PMC Article
Micieli R, Alavi A
JAMA Dermatol 2018 Feb 1;154(2):193-202. doi: 10.1001/jamadermatol.2017.4374. PMID: 29141075

Diagnosis

Kolopp-Sarda MN, Miossec P
Curr Opin Rheumatol 2021 Jan;33(1):1-7. doi: 10.1097/BOR.0000000000000757. PMID: 33186245
Frumholtz L, Laurent-Roussel S, Lipsker D, Terrier B
Clin Rev Allergy Immunol 2021 Oct;61(2):181-193. doi: 10.1007/s12016-020-08788-4. PMID: 32378145
Sammaritano LR
Best Pract Res Clin Rheumatol 2020 Feb;34(1):101463. Epub 2019 Dec 19 doi: 10.1016/j.berh.2019.101463. PMID: 31866276
Samanta D, Cobb S, Arya K
J Stroke Cerebrovasc Dis 2019 Aug;28(8):2098-2108. Epub 2019 May 31 doi: 10.1016/j.jstrokecerebrovasdis.2019.05.013. PMID: 31160219
Micieli R, Alavi A
JAMA Dermatol 2018 Feb 1;154(2):193-202. doi: 10.1001/jamadermatol.2017.4374. PMID: 29141075

Therapy

Nakashima C, Kato M, Otsuka A
J Dermatol 2023 Mar;50(3):280-289. Epub 2023 Jan 13 doi: 10.1111/1346-8138.16651. PMID: 36636825
Ordi-Ros J, Sáez-Comet L, Pérez-Conesa M, Vidal X, Riera-Mestre A, Castro-Salomó A, Cuquet-Pedragosa J, Ortiz-Santamaria V, Mauri-Plana M, Solé C, Cortés-Hernández J
Ann Intern Med 2019 Nov 19;171(10):685-694. Epub 2019 Oct 15 doi: 10.7326/M19-0291. PMID: 31610549
Samanta D, Cobb S, Arya K
J Stroke Cerebrovasc Dis 2019 Aug;28(8):2098-2108. Epub 2019 May 31 doi: 10.1016/j.jstrokecerebrovasdis.2019.05.013. PMID: 31160219
Uthman I, Noureldine MHA, Ruiz-Irastorza G, Khamashta M
Ann Rheum Dis 2019 Feb;78(2):155-161. Epub 2018 Oct 3 doi: 10.1136/annrheumdis-2018-213846. PMID: 30282668
Micieli R, Alavi A
JAMA Dermatol 2018 Feb 1;154(2):193-202. doi: 10.1001/jamadermatol.2017.4374. PMID: 29141075

Prognosis

Liu M, Li G, Song X, Fan Y, Li C
Sci Rep 2023 Jun 1;13(1):8915. doi: 10.1038/s41598-023-35955-2. PMID: 37264095Free PMC Article
Samanta D, Cobb S, Arya K
J Stroke Cerebrovasc Dis 2019 Aug;28(8):2098-2108. Epub 2019 May 31 doi: 10.1016/j.jstrokecerebrovasdis.2019.05.013. PMID: 31160219
Micieli R, Alavi A
JAMA Dermatol 2018 Feb 1;154(2):193-202. doi: 10.1001/jamadermatol.2017.4374. PMID: 29141075
Sangle SR, D'Cruz DP
Isr Med Assoc J 2015 Feb;17(2):104-7. PMID: 26223086
Marzano AV, Balice Y, Tavecchio S, Desimine C, Colombo A, Berti E
G Ital Dermatol Venereol 2015 Apr;150(2):193-202. Epub 2015 Mar 19 PMID: 25791629

Clinical prediction guides

Liu M, Li G, Song X, Fan Y, Li C
Sci Rep 2023 Jun 1;13(1):8915. doi: 10.1038/s41598-023-35955-2. PMID: 37264095Free PMC Article
Nakashima C, Kato M, Otsuka A
J Dermatol 2023 Mar;50(3):280-289. Epub 2023 Jan 13 doi: 10.1111/1346-8138.16651. PMID: 36636825
Santiago MB, Melo BS
Curr Rheumatol Rev 2022;18(3):186-194. doi: 10.2174/1573397118666220325110737. PMID: 35339184
Micieli R, Alavi A
JAMA Dermatol 2018 Feb 1;154(2):193-202. doi: 10.1001/jamadermatol.2017.4374. PMID: 29141075
Cervera R, Serrano R, Pons-Estel GJ, Ceberio-Hualde L, Shoenfeld Y, de Ramón E, Buonaiuto V, Jacobsen S, Zeher MM, Tarr T, Tincani A, Taglietti M, Theodossiades G, Nomikou E, Galeazzi M, Bellisai F, Meroni PL, Derksen RH, de Groot PG, Baleva M, Mosca M, Bombardieri S, Houssiau F, Gris JC, Quéré I, Hachulla E, Vasconcelos C, Fernández-Nebro A, Haro M, Amoura Z, Miyara M, Tektonidou M, Espinosa G, Bertolaccini ML, Khamashta MA; Euro-Phospholipid Project Group (European Forum on Antiphospholipid Antibodies)
Ann Rheum Dis 2015 Jun;74(6):1011-8. Epub 2014 Jan 24 doi: 10.1136/annrheumdis-2013-204838. PMID: 24464962

Recent systematic reviews

Loiseau P, Foret T, DeFilippis EM, Risse J, Etienne AD, Dufrost V, Moulinet T, Erkan D, Devilliers H, Wahl D, Zuily S
Lupus 2022 Nov;31(13):1595-1605. Epub 2022 Sep 15 doi: 10.1177/09612033221126852. PMID: 36112747
Kasap Cuceoglu M, Sener S, Batu ED, Kaya Akca U, Demir S, Sag E, Atalay E, Balık Z, Basaran O, Bilginer Y, Ozen S
Semin Arthritis Rheum 2021 Jun;51(3):559-564. Epub 2021 Apr 19 doi: 10.1016/j.semarthrit.2021.04.009. PMID: 33901990
Micieli R, Alavi A
JAMA Dermatol 2018 Feb 1;154(2):193-202. doi: 10.1001/jamadermatol.2017.4374. PMID: 29141075
Medlin JL, Hansen KE, Fitz SR, Bartels CM
Semin Arthritis Rheum 2016 Jun;45(6):691-7. Epub 2016 Jan 21 doi: 10.1016/j.semarthrit.2016.01.004. PMID: 26972993Free PMC Article
Schlienger RG, Bircher AJ, Meier CR
Dermatology 2000;200(3):223-31. doi: 10.1159/000018387. PMID: 10828631

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