Vasculopatía liveloide como presentación de síndrome antifosfolípido en el embarazo / Livedoid vasculopathy as an introduction to antiphospholipid syndrome during

ABSTRACT

Livedoid vasculopathy (LV) is an occlusive thrombotic disease that affects primarily the small blood vessels of the coger extremities and often is associated with recurrent painful ulcerations. The pathogenesis of Lvis unclear, but it is attributed to hypercoagulable state. We describe a 27-year old pregnant woman who developed a LV in the third trimester of her pregnancy. The skin biopsy revealed endothelial proliferation and fibrin thrombi in small vessels of the dermis. She had aCl Ig G and Ig M positive and lupus anticoagulant negative. Treatment with heparin, aspirin and steroids was required with dramatically improvement of the lesions