Livedoid vasculopathy
Looking for people with the rare blood clot and leg and foot ulcer disease of Livedoid Vasculopathy. Mayo seems to be experienced at treating this disease so I thought I would find you here, I have it.
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Could you possibly ask your doctor to switch you to Xarelto? It is a blood thinner my husband takes for AFib.
Eileen
Thanks for the post. I will suggest my husband gets uric acid tested. Anecdotally, his reaction to high purine food (red meat, haddock for example) is very pronounced- pain at the site of ulcer under 1 hr after consumption; redness to periwound. An inflammation response that then peels. I can get it under control with betaderm 2 application in 24hours. But if one has large ulcers, wound management mantra is to consume protein to repair understandably. But patients need to be warned not to consume purine high protein sources if high uric acid concentrations help trip up platelet clotting in LV. It would make for a great Mayo Clinic Study for a diet challenge for LV sugfferes with high uric acid to determine how restrictive the diet needs to be. My understanding of purines is that even some plant based food (some of my go to's) are high - oatmeal, dried beans... I find it interesting you got help in India as curcumin seems to helpful in the cessation of the inflammation of epithelial cells problematic in gout and LV. Did you ayurvedic diet recommend specific levels of turmeric consumption?
I (38 y.o. M) was just diagnosed with LV after both of my feet ulcerated during a heat wave this summer. Previously the livedo had been misdiagnosed as morphea, but a biopsy of the tissue near an ulcer proved it was LV. No indications of autoimmune disease or monoclonal proteins... still waiting on full blood work to analyze for for possible causes/mechanisms, but preliminary results indicate hypercoagulability. I just started daily aspirin and a pentoxifylline regimen, and have gotten several pairs of knee-high compression socks, but it is still too soon to see results. It sounds like the any more targeted medications will need to be selected after hematology results come back.
I've been essentially immobile for 5 weeks (< 100 steps a day because OUCH!). My ulcers are healing slowly, but I don't want to develop any other health issues due to being so inactive. Does anyone have any tips for getting exercise?
In addition to concerns about physical wear and tear on my feet, I can tell that my issues are triggered by heat. Does that mean I need to avoid vigorous activity? Or just make sure I keep cool while exercising?
Does anybody have experience with swimming? Does chlorinated pool water help or hurt? Do I need to wait until the ulcers close completely?
I am hoping you will reply, even though this is an older post. I have a 20--year-old daughter with LV, who has been suffering nearly 7 years. We have tried nearly everything including an elimination diet (excluding eggs). I have been reading recently about uric acid, TMAO, etc. I'm wondering who you saw to test uric acid and recommending diet? Easter Medicine doc? We can rarely find a doctor to recommend changes to diet. We have tried gluten and dairy free with no success. Blood thinners didn't work . (Xarelto first and then Lovenox provided temporary relief only at high doses - and then it stopped working). How are you doing today?
I am desperately seeking options for my 20-year-old with LV for almost 7 years. Xarelto showed zero improvement for her. Lovenox injections worked for a short time at the highest doses and then stopped working, plus her doctor said she couldn't continue at that high level. She has tried a gluten- and dairy-free, sugar-free, and elimination diet (except eggs)—none showing improvement. Can anyone chime in on avoiding dairy, eggs, and red meats and finding healing for LV? Has anyone tried Sulodexide with success? What about IVIG? Is IVIG clean and safe? Has anyone tried low-dose tPA? She just began the CHAP protocol but seemed to have an allergic reaction to the channel blocker (vasculitis-looking rash on her right arm that faded after stopping). Any other ideas? Thank you and blessings to all!
Welcome, @iamom It doesn’t appear that @victorarrow has been active since originally posting their comment in 2021. But they may still get a notification in their email if they are still signed into the forum.
However, there are other members here who have LV. So hopefully they can share their experiences for what has helped them.
I’m so sorry to hear about your daughter and her 7 years of trying to work through this! As a mother this has to leave you feeling so helpless and frustrated for her.
Is she being seen at a larger teaching/research hospital such as a university?
Hi, imamom
I’m so sorry to hear about your daughter. It’s a devastating situation to be in, especially at her age. To answer a couple of the questions and to give some more insight, yes, it is an eastern medicine doctor that told me to test for uric acid. I had seen maybe a dozen different doctors around the US before and the only thing they could suggest was different types of oral or injection medicine. I am Indian, and the last resort we really had was to go to a naturopathic clinic in India. One of the doctors there had seen something like this before and recognized that you were acid may have been the cause so decided to test for it. I may be getting the numbers wrong but I think the normal level is 7 and mine was closer to 14. I don’t eat red meat because of my culture, but I did eat a lot of poultry, especially fried and not so healthy foods. I went on an almost purely natural diet for about six months before starting to introduce more lenient foods into my diet again. and by that I mean, vegetarian with a focus in a reduction in purines. For me, it was also important to cut out foods that had high fructose corn syrup, and other preservatives similar to that because those increased my uric acid levels. It’s been five years since the last time I have had an attack and I am able to do everything normally as of today.
I’ve attached 2 photos. One when it was at its worst, and another from just now
Not sure why it wasn’t uploaded, but here are my feet today
@victorarrow Thank you so much for your very helpful reply to @iamom for her daughter’s battle with LV. What a painful and disruptive disease. It’s wonderful you’ve been relieved of your symptoms for 5 years. Wishing you continued success! Thank you again for sharing your experience and what worked for you!
Of course. I appreciate you using the @ to let me know as well, I got a notification in my email due to that.
If there are any further questions or there’s something I can help with, please let me know