Livedo racemosa: unusual late manifestations of borreliosis?

Classic variants of cutaneous borreliosis are erythema chronicum migrans (E CM), lymphadenosis benigna cutis (LBC) and acrodermatitis chronica atrophic ans (ACA). Other dermatoses have been reported in the literature as possibl y linked to borreliosis. A 59-year old female patient was seen in the late phases of cutaneous borreliosis with histologically confirmed ACA. In addit ion, prominent livedo racemosa was seen on the legs, also showing tissue ch anges similar to those of ACA. Borrelia burgdorferi infection was serologic ally confirmed by the presence of anti-IgM and anti-IgG antibodies. The cli nical spectrum of late cutaneous borreliosis should be enlarged to include livedo racemosa.