Prevention of livedoid vasculopathy recurrence by prolonged administration of rivaroxaban

Abstract

A 49-year-old man with known livedoid vasculopathy presented with recurrent painful (VAS 8/10) ulceration and necrosis on the foot (Figure 1). He was formerly treated with prostacyclin infusions, acetylsalicylic acid, intravenous immunoglobulins, different systemic antibiotics and a skin grafting. At admission an antithrombotic therapy with enoxaparin (Clexane^®) in a dose of 1 mg/ kg bodyweight (100 mg) once daily was initiated.

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