← Return to Treatment options for Livedoid Vasculopathy (LV)

Discussion

Treatment options for Livedoid Vasculopathy (LV)

Skin Health | Last Active: Dec 14, 2023 | Replies (70)

Comment receiving replies
@marlene64

Wow, not sure how I found this website but am happy I did. I am going to be 52 this year. When I was 37 I woke up one day with a solid DVT that went from left ankle up to the top of my stomach. I ended up being in three hospitals for a total of six weeks. Diagnosed with Factor V Leiden and May Thurner Syndrome and some protein something. I have a 14" stent in my iliac vein in my stomach to keep it open as without it, my iliac vein would rub against my iliac artery and cause another blood clot. It took three rounds of thrombalitic medicines, three trips to ICU, and six weeks in the hospital to get the clot broken up. I will be on lifelong coumadin therapy and have slept with my legs elevated since 2002. I wore compression for the first several years and then quit, but I've had to start wearing them again because I have such terrible pain, especially at night.

Recently, my husband noticed the back of my leg looked different - a network of blue veins underneath my skin - really strange looking. Because I've had such terrible pain with my bad leg, I made an appt. to go back to see the interventional radiologist who took care of me since 2002 and off and on since. He acted like he didn't know what the condition was. Sent me home and told me he'd recheck me in six months but since he didn't seem to know what it was, I've been obsessed with trying to figure it out.

After a lot of time reading and studying, I am scared and worried but am pretty sure I have LV, so I'm hoping you can help answer some questions I still have:

1.) Everyone keeps saying if you have Factor V Leiden, it's the opposite of LV, or it works against LV? I'm not sure I'm following why that is. The Factor V causes blood clotting and I take coumadin to keep my blood thin. What affect does that have on LV?

2.) I have pain in my leg, terrible at night or when I've stood for a while or sat too long. The only thing that feels good is a heating pad. Because of the blood thinner (a high dose of 10 mgs/day), I've been told not to take NSAID's because they will destroy my stomach, so I do without any except when I just can't take it any more. Do you guys have the kind of cramping and pain. I used to refer to them as growing pains but sometimes they're sharp stabbing pains, too.

3.) Right now I have no ulcers - thank you, God, but everything I have read it sounds like the LV rash/network of blue dark veins under my skin might be the predecessor to future ulcers? To be truthful, reading all of this really scares me about the quality of life that's ahead of me. When I first had my DVT in 2002, I was 37 and still very active. Now just 14 years later, my quality of life has changed. It's not just that I'm older. I have so much more pain and my legs feel like their 30 years older.

4.) It's getting more difficult to work because I don't sleep well at night any more. Are you all still working? Do any of you receive disability? I'm not sure how you would work with the ulcers you describe. I'm so sorry to hear about them.

5.) I'm not sure what doctor to go to first? I have a brand new internal med doctor who I could try but after the interventional radiologist acted like I was from Mars, I kind of want to make sure I find a doctor that has a clue about what this is. Fortunately, I live near St. Louis, MO, so we have some incredible hospitals that would offer wound care, etc., if that becomes necessary down the road. Do I try to find a dermatologist for this. It seems like it's more a vascular disease but everyone is using a dermatologist so I'm not sure about who first.

I look forward to learning from all of you. Thank you.

Marlene

Jump to this post


Replies to "Wow, not sure how I found this website but am happy I did. I am going..."

Hi @marlene64:
I'm sure you'll receive a number of replies to your several questions. Just so you know you're not alone in this disease tonight, I thought I'd chime in with a couple of things. I can't speak to the effects of Factor V Leiden as I don't have it. I do have LV ulcers and pain. and was forced to retire because of the pain and the medications that I was taking to control the pain. I'm 73 now so being retired doesn't bother me so much, but I was definitely not ready to retire a few years ago.
LV pain is definitely worse in the evening and at night. I also have a serious case of restless legs so this compounds the situation and the need to maintain a good schedule for taking meds. Its important to get your meds balanced as to when you take them and in what dose and combination with other drugs to be able to carry on a reasonable life and to avoid the pain peaks that can plague you if you don't. A physician should be consulted when you attempt to balance doses, combinations and time of taking them. It is helpful to have one doc that can do this for you. It doesn't necessarily matter what his specialty is, as long as he/she is willing to work with you and your other docs to accomplish the best results.
Your meds can definitely affect your sleep as well - another argument for getting them balanced as best you can. I have not had DVT's so not much help there. Have to sign off now - before I get swallowed up by the need for sleep...