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Margretta A. O'Reilly, MD; Kappa P. Meadows, MD; Conleth A. Egan, MB, MRCPI
University of Utah Health Sciences Center, Salt Lake City

Arch Dermatol. 2001;137:957-962.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 25-year-old female smoker with hypertension presented with a several-month history of progressive painful cyanosis, livedo reticularis, and necrotic lesions on the distal region of her extremities. She had nephrocalcinosis and end-stage renal disease of unclear etiology. She had started receiving hemodialysis shortly before the cutaneous signs developed. Abdominal pain and cardiac dysrhythmias were additional recent medical problems. Examination revealed necrozing livedo reticularis on the distal area of the upper and lower extremities, with necrotic eschars over the digits and dorsa of the feet (Figure 1 and Figure 2). Radial, brachial, and femoral pulses were diminished but palpable. Popliteal, posterior tibial, and dorsalis pedis pulses were detectable only on Doppler examination.

Figure 1.

Figure 2.

Skin biopsy specimens were obtained from necrotic skin on the lower part of the legs (Figure 3).

Figure . . . [Full Text of this Article]

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