Korean J Med.  2010 Apr;78(4):527-530.

Successful treatment of refractory livedoid vasculitis with rituximab and cyclophosphamide

Affiliations
  • 1Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. ymkang@knu.ac.kr

Abstract

Livedoid vasculitis (LV) is a chronic recurrent cutaneous disease that is characterized by a netlike vascular pattern of purpuric lesions that progress to ulcers and atrophic white scars. The etiology of LV is unknown. Various therapies have been used for LV with inconsistent results, including antiplatelet agents, fibrinolytics, anticoagulants, prostaglandin E1, and immunosuppressive agents, such as systemic corticosteroids, azathioprine, methotrexate, cyclosporine, and mycophenolate mofetil. We present a patient with idiopathic LV refractory to immunosuppressive therapy who had a good response to treatment with rituximab and cyclophosphamide.

Keyword

Livedoid vasculitis; Rituximab; Cyclophosphamide

MeSH Terms

Adrenal Cortex Hormones
Alprostadil
Antibodies, Monoclonal, Murine-Derived
Anticoagulants
Azathioprine
Cicatrix
Cyclophosphamide
Cyclosporine
Humans
Immunosuppressive Agents
Methotrexate
Mycophenolic Acid
Platelet Aggregation Inhibitors
Ulcer
Vasculitis
Rituximab
Adrenal Cortex Hormones
Alprostadil
Antibodies, Monoclonal, Murine-Derived
Anticoagulants
Azathioprine
Cyclophosphamide
Cyclosporine
Immunosuppressive Agents
Methotrexate
Mycophenolic Acid
Platelet Aggregation Inhibitors
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