Tratamento de vasculopatia livedóide com imunoglobulina intravenosa

livedoid vasculopathy presents with pain and slowly healing ulcerations of the lower limbs, and has obscure pathophysiology. usual therapeutics include rheologic, anti-inflammatory and immunosuppressing agents with no reports of permanent benefits. immunoglobulin was administered to a patient who was refractory to other treatments and skin involvement was assessed by means of clinical score before and after treatment. there was a significant healing of the lesions. imunoglobulim was well tolerated and therapy was discontinued.