Korean J Dermatol.  2013 Apr;51(4):261-264.

Livedo Racemosa Associated with Epstein-Barr Virus-induced Post-transplant Lymphoproliferative Disorder

• Kim TW
• Mun JH
• Jwa SW
• Song M
• Kim HS
• Ko HC
• Kim BS
• Kim MB

Abstract

Livedo racemosa (LR) is characterized by a striking violaceous netlike patterning of the skin similar to the livedo reticularis, from which it differs by its localization (more generalized), and shape (irregular, broken circular segments). LR is probably caused by patchy impairment of cutaneous arteriolar circulation, resulting in venous dilatation and stasis of blood. LR is always associated with a pathological condition, including hematologic/hypercoagulable disease, vasculitis, connective tissue diseases, neoplasm, lymphoma, infection, cerebrovascular disease, adverse response to a drug, and etc. Hence, clinical, pathological and laboratory examinations are important for excluding these underlying diseases. To date, there have been few reports of LR secondary to posttransplant lymphoproliferative disease (PTLD) in dermatologic literatures. Herein, we report a case of LR associated with Epstein-Barr virus-induced PTLD of cervical lymph node in a 19-year-old female, who had generalized reticular erythematous to violaceous patch on the entire body after allogenic peripheral blood stem cell transplantation.

Keyword

Epstein-Barr virus; Livedo racemosa; Post-transplant lymphoproliferative disorder

MeSH Terms

Connective Tissue Diseases
Dilatation
Female
Herpesvirus 4, Human
Humans
Livedo Reticularis
Lymph Nodes
Lymphoma
Lymphoproliferative Disorders
Peripheral Blood Stem Cell Transplantation
Skin
Strikes, Employee
Vasculitis