case_images: PMC11284771_01
case_images: Livedo reticularis all over her lower limbs.
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case_images: A detailed physical examination was conducted, which revealed a distinct reticular pattern reminiscent of livedo reticularis distributed across her body (Figure 1).
case_images: Unhealed ulcers over the lateral malleolus.
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case_images: Furthermore, the examination revealed multiple chronic unhealed ulcers, specifically localized to the lateral malleolus and the dorsum of the left foot, in addition to white scarring in the lower legs and ankles (Figure 2).
case_images: Skin biopsy histopathology analysis showing fibrin thrombi within vessel lumens, extravasation of red blood cells, and perivascular lymphocyte infiltration.
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case_images: The histopathological analysis of the biopsy sample showed fibrin thrombi within vessel lumens, extravasation of red blood cells, and perivascular lymphocyte infiltration (Figure 3).
case_images: Complete healing of the ulcer following treatment.
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case_images: This comprehensive treatment approach resulted in a notable improvement in her condition, as evidenced by the complete resolution of the pre-existing skin ulcers (Figure 4).