{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:15:55Z","timestamp":1782954955403,"version":"3.54.5"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Livedoid vasculopathy (LV) is a chronic, recurrent thrombotic vasculopathy characterized by painful ulcerations on the lower extremities, which heal slowly and leave atrophic white scars known as \u201catrophie blanche.\u201d This report presents the case of a 31-year-old woman with a 4-year history of recurrent painful ulcerations on her legs and feet. A skin biopsy revealed findings consistent with LV, and an exhaustive laboratory workup ruled out secondary causes such as thrombophilia, malignancies, autoimmune diseases, and peripheral arterial disease. The patient showed remarkable improvement with a treatment regimen of pentoxifylline, nifedipine, and warfarin, resulting in complete ulcer resolution and sustained remission over 5 months. Our case highlights the importance of a comprehensive diagnostic approach and a multidisciplinary treatment strategy in managing primary LV to achieve remission and prevent recurrence of skin ulcerations.<\/jats:p>","DOI":"10.1177\/23247096241266090","type":"journal-article","created":{"date-parts":[[2024,7,28]],"date-time":"2024-07-28T09:03:42Z","timestamp":1722157422000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Negative Results, Positive Outcome: A Case of Primary Livedoid Vasculopathy With an Elusive Laboratory Workup"],"prefix":"10.1177","volume":"12","author":[{"given":"Ahmed Dheyaa","family":"Al-Obaidi","sequence":"first","affiliation":[{"name":"University of Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shireen Kh.","family":"Sabeeh","sequence":"additional","affiliation":[{"name":"Al Numan Teaching Hospital, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maab Jasim","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Al Numan Teaching Hospital, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assalah","family":"Othman","sequence":"additional","affiliation":[{"name":"D\u2019Youville University, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousif Ahmed","family":"Algburi","sequence":"additional","affiliation":[{"name":"University of Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hashim Talib","family":"Hashim","sequence":"additional","affiliation":[{"name":"Warith Al-Anbiyaa University, Karbala, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9076-8220","authenticated-orcid":false,"given":"Ahmed Qasim Mohammed","family":"Alhatemi","sequence":"additional","affiliation":[{"name":"Al Nasiriyah Teaching Hospital, Thi Qar, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahraa","family":"Al Hilali","sequence":"additional","affiliation":[{"name":"University of Science and Technology, Sanaa, Yemen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal Riyadh Taresh","family":"Al-attabi","sequence":"additional","affiliation":[{"name":"Al Nasiriyah Teaching Hospital, Thi Qar, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Al-Awad","sequence":"additional","affiliation":[{"name":"University of Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,28]]},"reference":[{"key":"bibr1-23247096241266090","unstructured":"Kang S, Amagai M, Bruckner AL, et al. 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