Livedo racemosa with ulcerations: cyclic therapy with iloprost infusions

A 43 year old woman suffered from an intermittent painful livedo racemosa a t the back since her childhood. Her clinical course was complicated by ulce rations. In careful clinical investigations no signs of an underlying disea se could be found, in particular a Sneddon syndrome could be excluded. By m eans of both conservative and surgical treatments, initial healing of the u lcerations was achieved but relapses occurred. Cyclic infusions of iloprost achieved long-term clearing of the ulcerations and disappearance of the pa in. To the best of our knowledge the effectiveness of this treatment has no t been described for this disease in the literature.