Livedo reticularis is a disorder in which blood vessels are constricted, or narrowed. It results in mottled discoloring on large areas of the legs or arms.
The mottled look seen in a person with livedo reticularis occurs when some of the blood vessels feeding the skin go into spasm. Anything that decreases blood flow further, such as exposure to cold, will make the condition worse.
The exact cause of livedo reticularis is unknown. It is felt to be due to spasm of the blood vessels. It occurs more often in women, and usually begins when a person is in his or her thirties.
Symptoms of livedo reticularis include a mottled, or lace-like, appearance of reddish blue areas on the skin. The mottling is more apparent on the thighs and forearms, and sometimes the lower abdomen. It is more pronounced in cold weather.
Livedo reticularis is diagnosed by the appearance of the skin.
To minimize livedo reticularis, a person can avoid cold temperatures.
Livedo reticularis may in time become permanent, rather than just being associated with cold. Ulcers in the lower extremities may occur in severe cases.
There are no risks to others, as livedo reticularis is not contagious.
There is no treatment for livedo reticularis.
There are no side effects, since there is no treatment.
Livedo reticularis is an ongoing disorder and not expected to clear entirely.
Livedo reticularis can be monitored by the affected person. Any new or worsening symptoms should be reported to a healthcare provider.
Author:Lynn West, MD
Date Written:
Editor:Smith, Elizabeth, BA
Edit Date:08/17/00
Reviewer:Gail Hendrickson, RN, BS
Date Reviewed:07/13/01
Harrison's Principles of Internal Medicine, 1998, Fauci et al.
Tierney, Lawrence, editor, "Current Medical Diagnosis and Treatment, 39th edition", 2000