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

• Published in: Journal of vascular surgery cases and innovative techniques Vol. 9; no. 4; p. 101303
• Main Authors: Pillai, Gayatri S., Shah, Sahaj S., Ferringer, Tammie, Salzler, Gregory G., Ryer, Evan J.
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-12-2023; Elsevier
• Subjects: Case report; Diffuse dermal angiomatosis; Lower limb ischemia; Peripheral arterial disease; Peripheral vascular disease; Revascularization; Peripheral arterial disease; Peripheral vascular disease; Lower limb ischemia; Diffuse dermal angiomatosis; Revascularization
• ISSN: 2468-4287; 2468-4287
• DOI: 10.1016/j.jvscit.2023.101303

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.