Indian Journal of Dermatology
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Year : 2014  |  Volume : 59  |  Issue : 5  |  Page : 498-501

Lymphocytic thrombophilic arteritis: An enigma

1 Department of Pathology, St. John's Medical College, Bangalore, India
2 Skin and Cosmetology Centre, Bangalore, India

Correspondence Address:
Rajalakshmi Tirumalae
Associate Professor, Department of Pathology, St. John's Medical College, Bangalore 560 034
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.139907

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A 55-year-old woman presented with a 5-year history of livedo racemosa on her limbs. Histology showed vasculitis of medium-sized arteries with a circumferential, hyalinised, intraluminal fibrin ring. Her laboratory investigations did not indicate any underlying systemic disease. The findings were consistent with lymphocytic thrombophilic arteritis (LTA), alias macular arteritis, which is a recently described entity. The importance of LTA lies in the fact that it is a close clinical and microscopic mimic of polyarteritis nodosa (PAN). LTA is believed to be a distinct entity by some and as a form of PAN by others. We have discussed this case in our report.

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