title: [Livedoid vasculopathy secondary to coeliac disease].
abstract: BACKGROUND
  Livedoid vasculopathy (LV) is a painful ulcerative condition involving white atrophy and livedo; a histopathologic feature seen is occlusive dermal vasculopathy. This may be associated with coagulation disorders such as hyperhomocysteinaemia (HHC).
  
  
  METHODS
  We report the case of a 52-year-old woman presenting LV in which an abnormal scan image led us to diagnose coeliac disease. This enteropathy had caused vitamin B12 and folic acid deficiency, as well as HHC. Vitamin supplementation and a gluten-free diet resulted in complete healing of the lesions.
  
  
  CONCLUSIONS
  This case underlines the importance of screening for and correction of coagulation disorders in patients with LV. It also suggests that in the event of HHC, coeliac disease should be sought, even in the absence of gastrointestinal symptoms.
authors.affiliation: Service de dermatologie, HIA Legouest et CHR Metz-Thionville, 57000 Metz, France. Electronic address: henryjulie@outlook.fr.
authors.forename: J
authors.initials: J
authors.lastname: Henry
authors.affiliation: Service de dermatologie, HIA Legouest et CHR Metz-Thionville, 57000 Metz, France.
authors.forename: F
authors.initials: F
authors.lastname: Brault
authors.affiliation: Service de dermatologie, HIA Legouest et CHR Metz-Thionville, 57000 Metz, France.
authors.forename: C
authors.initials: C
authors.lastname: Brouillard
authors.affiliation: Laboratoire d'anatomie pathologique, 8, place de Turenne, 57100 Thionville, France.
authors.forename: M
authors.initials: M
authors.lastname: Baudin
authors.affiliation: Service de radiologie, HIA Legouest, 57000 Metz, France.
authors.forename: A
authors.initials: A
authors.lastname: Gervaise
authors.affiliation: Service de dermatologie, HIA Legouest et CHR Metz-Thionville, 57000 Metz, France.
authors.forename: J
authors.initials: J
authors.lastname: Pouaha
authors.affiliation: Service de dermatologie, HIA Legouest et CHR Metz-Thionville, 57000 Metz, France.
authors.forename: J-F
authors.initials: JF
authors.lastname: Cuny
authors.affiliation: Service de dermatologie, HIA Legouest et CHR Metz-Thionville, 57000 Metz, France.
authors.forename: A
authors.initials: A
authors.lastname: Valois
mesh_terms: D002446:Celiac Disease / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D005492:Folic Acid / Q000008:administration & dosage*; D006801:Humans; D054068:Livedo Reticularis / Q000178:diet therapy / Q000188:drug therapy / Q000209:etiology*; D008875:Middle Aged; D016896:Treatment Outcome; D014805:Vitamin B 12 / Q000008:administration & dosage*; D014803:Vitamin B Complex / Q000008:administration & dosage*
chemical_list: D014803:Vitamin B Complex; D005492:Folic Acid; D014805:Vitamin B 12
keywords: Coeliac disease; Hyperhomocysteinaemia; Hyperhomocystéinémie; Livedoid vasculopathy; Maladie cœliaque; Vasculopathie livédoïde