{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:38:52Z","timestamp":1777916332178,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2013,7,11]],"date-time":"2013-07-11T00:00:00Z","timestamp":1373500800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Livedo racemosa is a reticulate eruption that presents with branched and partially blanchable incomplete rings. Livedo racemosa is distinct from livedo reticularis, a similar condition that presents with a diffuse and symmetrical blanchable eruption. In contrast to livedo reticularis which may be physiological, livedo racemosa is always associated with an underlying pathology. To our knowledge, this is the first report of panniculitis ossificans and heterotopic ossification of small saphenous vein (SSV) presenting with livedo racemosa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We present a 70-year-old male referred for investigation and management of progressive pigmentation and \u2018lipodermatosclerosis\u2019 of lower limbs. There was no history of deep venous thrombosis but an earlier ultrasound had detected a non-occlusive thrombus in the left SSV. Examination and investigations revealed the skin eruption to be livedo racemosa and the associated subcutaneous induration and nodularity to be due to panniculitis ossificans. Biopsy of the SSV demonstrated segmental heterotopic ossification. Duplex ultrasound demonstrated bilateral superficial and deep venous incompetence but no evidence of an acute or chronic venous thrombosis. The patient was diagnosed with heterotopic ossification secondary to venous insufficiency and managed conservatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Livedo racemosa may be an early sign of panniculitis ossificans and its presence should trigger further diagnostic investigations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0268355513495829","type":"journal-article","created":{"date-parts":[[2013,7,11]],"date-time":"2013-07-11T23:13:17Z","timestamp":1373584397000},"page":"401-406","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Heterotopic ossification of small saphenous vein and panniculitis ossificans of chronic venous insufficiency presenting with livedo racemosa"],"prefix":"10.1177","volume":"29","author":[{"given":"Chris","family":"Lekich","sequence":"first","affiliation":[{"name":"Venus Centre Vein Clinic, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kurosh","family":"Parsi","sequence":"additional","affiliation":[{"name":"Department of Dermatology, St. Vincent\u2019s Hospital, Sydney, Australia"},{"name":"University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,7,11]]},"reference":[{"key":"bibr1-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2011.00749.x"},{"key":"bibr2-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2011.00819.x"},{"key":"bibr3-0268355513495829","first-page":"312","volume":"16","author":"Shimizu A","year":"2006","journal-title":"Eur J Dermatol"},{"key":"bibr4-0268355513495829","first-page":"2379","volume":"33","author":"Uthman I","year":"2006","journal-title":"J Rheumatol"},{"key":"bibr5-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2007.00392.x"},{"key":"bibr6-0268355513495829","doi-asserted-by":"crossref","unstructured":"G\u00f3mez Moyano E, Godoy Diaz DJ, De Ram\u00f3n Garrido E, et\u00a0al. Livedo racemosa as a presenting sign of antiphospholipid syndrome secondary to systemic lupus erythematosus.\n                      Med Clin (Barc)\n                      . Epub ahead of print 3 July 2012. DOI: 10.1016\/j.medcli.2012.04.020.","DOI":"10.1016\/j.medcli.2012.04.020"},{"key":"bibr7-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.10.999"},{"key":"bibr8-0268355513495829","first-page":"345","volume":"43","author":"Lewandowska E","year":"2005","journal-title":"Folia Neuropathol"},{"key":"bibr9-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.4.1185"},{"key":"bibr10-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1007\/s002960050063"},{"key":"bibr11-0268355513495829","first-page":"114","volume":"2","author":"Sunderk\u00f6tter C","year":"2006","journal-title":"Eur J Dermatol"},{"key":"bibr12-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.76.891.49"},{"key":"bibr13-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-004-0848-7"},{"key":"bibr14-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-005-0967-9"},{"key":"bibr15-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1007\/s001050051177"},{"key":"bibr16-0268355513495829","doi-asserted-by":"crossref","unstructured":"Cafasso DE, Bowen DK, Kinkennon SA, et\u00a0al. Heterotopic ossificans in chronic venous insufficiency: a new consideration for clinical, aetiology, anatomy and pathophysiology staging.\n                      Phlebology\n                      Epub ahead of print 30 Nov 2012. DOI: 10.1258\/phleb.2012.012050.","DOI":"10.1258\/phleb.2012.012050"},{"key":"bibr17-0268355513495829","first-page":"27","volume":"5504","author":"Sarkany I","year":"1966","journal-title":"Br Med J"},{"key":"bibr18-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1016\/j.prp.2007.05.014"},{"key":"bibr19-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1080\/16501970510027628"},{"key":"bibr20-0268355513495829","first-page":"234","volume":"13","author":"Blaszczyk M","year":"2003","journal-title":"Eur J Dermatol"},{"key":"bibr21-0268355513495829","first-page":"425","volume":"72","author":"Brooke M","year":"1991","journal-title":"Arch Phys Med Rehabil"},{"key":"bibr22-0268355513495829","first-page":"33","volume":"52","author":"Rosa M","year":"2009","journal-title":"Can J Surg"},{"key":"bibr23-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1932554100"},{"key":"bibr24-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1007\/BF02556120"},{"key":"bibr25-0268355513495829","first-page":"483","volume":"86","author":"Pistarini C","year":"1995","journal-title":"Recenti Prog Med"},{"key":"bibr26-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1996.91"},{"key":"bibr27-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-002-0461-0"},{"key":"bibr28-0268355513495829","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.6829"},{"key":"bibr29-0268355513495829","doi-asserted-by":"crossref","unstructured":"Cella J, Salvati E and Sculco T. Indomethacin for the prevention of heterotopic ossification following total hip arthroplasty: Effectiveness, contraindications and adverse effects.\n                      J Arthroplasty\n                      1988: 229\u2013234.","DOI":"10.1016\/S0883-5403(88)80020-2"},{"key":"bibr30-0268355513495829","first-page":"346","volume":"43","author":"Shehab D","year":"2002","journal-title":"J Nucl Med"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0268355513495829","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0268355513495829","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0268355513495829","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:45:26Z","timestamp":1777657526000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0268355513495829"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,11]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,7]]}},"alternative-id":["10.1177\/0268355513495829"],"URL":"https:\/\/doi.org\/10.1177\/0268355513495829","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,11]]}}}