title: [Livedo racemosa: an unusual late manifestation of borreliosis?].
abstract: Classic variants of cutaneous borreliosis are erythema chronicum migrans (ECM), lymphadenosis benigna cutis (LBC) and acrodermatitis chronica atrophicans (ACA). Other dermatoses have been reported in the literature as possibly linked to borreliosis. A 59-year old female patient was seen in the late phases of cutaneous borreliosis with histologically confirmed ACA. In addition, prominent livedo racemosa was seen on the legs, also showing tissue changes similar to those of ACA. Borrelia burgdorferi infection was serologically confirmed by the presence of anti-IgM and anti-IgG antibodies. The clinical spectrum of late cutaneous borreliosis should be enlarged to include livedo racemosa.
authors.affiliation: Klinik und Poliklinik für Dermatologie, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin.
authors.forename: M
authors.initials: M
authors.lastname: Baumann
authors.forename: B
authors.initials: B
authors.lastname: Tebbe
authors.forename: M
authors.initials: M
authors.lastname: Arnold
authors.forename: S
authors.initials: S
authors.lastname: Krengel
authors.forename: S
authors.initials: S
authors.lastname: Goerdt
authors.forename: C E
authors.initials: CE
authors.lastname: Orfanos
mesh_terms: D000169:Acrodermatitis / Q000209:etiology / Q000473:pathology; D000907:Antibodies, Bacterial / Q000032:analysis; D001706:Biopsy; D015748:Borrelia burgdorferi Group / Q000276:immunology; D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D002511:Cephalosporins / Q000008:administration & dosage / Q000627:therapeutic use; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007075:Immunoglobulin M / Q000032:analysis; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D012867:Skin / Q000473:pathology; D017445:Skin Diseases, Vascular / Q000209:etiology* / Q000473:pathology; D013997:Time Factors
chemical_list: D000907:Antibodies, Bacterial; D002511:Cephalosporins; D007074:Immunoglobulin G; D007075:Immunoglobulin M; D002443:Ceftriaxone