Diffuse dermal angiomatosis of the thigh as the presenting sign of critical limb ischemia

Gayatri S Pillai; Sahaj S Shah; Tammie Ferringer; Gregory G Salzler; Evan J Ryer

doi:10.1016/j.jvscit.2023.101303

Diffuse dermal angiomatosis of the thigh as the presenting sign of critical limb ischemia

J Vasc Surg Cases Innov Tech. 2023 Aug 23;9(4):101303. doi: 10.1016/j.jvscit.2023.101303. eCollection 2023 Dec.

Authors

Gayatri S Pillai¹, Sahaj S Shah¹, Tammie Ferringer², Gregory G Salzler³, Evan J Ryer³

Affiliations

¹ Geisinger Commonwealth School of Medicine, Scranton, PA.
² Laboratory Medicine, Geisinger Medical Center, Danville, PA.
³ Department of Vascular Surgery, Geisinger Medical Center, Danville, PA.

Abstract

Diffuse dermal angiomatosis (DDA) is a rare, benign disease that can serve as the precursor to critical limb ischemia. Pruritic, erythematous plaques form from a proliferation of endothelial cells in response to dermal hypoxia. We present the case of a 63-year-old female patient with DDA of the left medial thigh, followed by ischemia of her distal extremities. Revascularization of her left leg resulted in resolution of the DDA and healing of her ulcers. DDA can be an important clue to identify significant peripheral vascular disease.

Keywords: Diffuse dermal angiomatosis; Lower limb ischemia; Peripheral arterial disease; Peripheral vascular disease; Revascularization.

Publication types

Case Reports