Welcome, Guest. Please Login or Register
Moyamoya.com
 
NEW search box below... Search Moyamoya.com with Google!
  HomeHelpSearchLoginRegisterEvent CalendarBirthday ListDonate  
 





Page Index Toggle Pages: 1
Send Topic Print
MM and now Livedo Reticularis! (Read 13552 times)
Monica
New Poster
*
Offline


Life is short...enjoy
it!

Posts: 39
Los Angeles
Gender: female
MM and now Livedo Reticularis!
Sep 17th, 2007 at 11:03am
 
I was recently diagnosed with Livedo Reticularis.  I'm participating in the research project out of Texas and they started asking questions which lead to my diagnosis of Livedo Reticularis. 

Livedo reticularis is a disorder in which blood vessels are constricted, or narrowed. It results in mottled discoloring on large areas of the legs or arms. Livedo reticularis refers to a condition in which dilation of capillary blood vessels and stagnation of blood within these vessels causes mottled discolouration of the skin. It is described as being reticular (net-like) cyanotic (reddish blue discolouration) cutaneous discolouration surrounding pale central areas.  It occurs mostly on the legs, arms and trunk and is more pronounced in cold weather.

It's interesting because the Texas research group says that they are finding Livedo Reticularis in lots of Moya Moya patients.  Just curious if anyone else on the board has it?

I'm living in Germany but considering picking up my life and moving to Los Angeles to get out of the cold.  It would be great to hear from anyone who is currently living with it and to know if the symptoms got worse with time.

Monica
Back to top
  
 
IP Logged
 
mg12061
Old-Time Poster
*****
Offline



Posts: 946
Albany, USA, usa, 492, 84, NY, New_York
Gender: female
Re: MM and now Livedo Reticularis!
Reply #1 - Sep 17th, 2007 at 12:05pm
 
  OMG you just described my daughters skin.We're participating in the study also and I had never heard of this before.This was the one condition I had never heard of on her list so, when she said the name of it I asked what it was.I told her my daughter has this look to her skin, but we've never had a diagnosis.We never looked for a diagnosis,should we???? Her left side(the side most affected by her storkes) is always much colder than her right,sometimes her hand and foot turn very blue on the left side.How did you get a daignosis? , and what ahve they told you about this condition if you don't mind me asking.
mary Grace
Back to top
  
rgrace5  
IP Logged
 
The_Mom_of_J_and_K
New Poster
*
Offline


I love YaBB 1G - SP1!

Posts: 14
Northampton, USA, PA, Pennsylvania
Gender: female
Re: MM and now Livedo Reticularis!
Reply #2 - Oct 2nd, 2007 at 11:59am
 
  My daughter was diagnosed with Moyamoya and suffered a major stroke within a week; that was almost 2 years ago.  She had two EDAMS surgeries, and has been doing very well.  I have visited this website many times, and find it invaluable.  When I read your message, and how you described Livedo Reticularis, I immediately realized that my daughter has what appears to be the same thing on the back of her leg, and has had it since birth. I called her Neurologist, and he scheduled an appointment for next week. Although, this Neurologist is familiar with my daughter, she is a new patient, because her prior doctor left the practice.  I know that she was tested for many auto-immune diseases when she was initially diagnosed with Moyamoya , and everything came back negative. Did the doctors from the Texas give you any feedback?
Back to top
  
 
IP Logged
 
mg12061
Old-Time Poster
*****
Offline



Posts: 946
Albany, USA, usa, 492, 84, NY, New_York
Gender: female
Re: MM and now Livedo Reticularis!
Reply #3 - Oct 2nd, 2007 at 2:01pm
 
    As far as I can remember kathleen's skin has always looked like this too.Mostly her arms and legs.When she's cold it's even more noticable.I'll be very curiouse to hear what your neurologist has to say about it.I have wondered if we need to have a diagnosis or if it's just a benign condition.I'de appreciate it if you let me know what you find out if you don't mind.
mary and kathleen
Back to top
  
rgrace5  
IP Logged
 
The_Mom_of_J_and_K
New Poster
*
Offline


I love YaBB 1G - SP1!

Posts: 14
Northampton, USA, PA, Pennsylvania
Gender: female
Re: MM and now Livedo Reticularis!
Reply #4 - Oct 2nd, 2007 at 3:57pm
 
 I am so glad somebody responded.  My daughter is sixteen-years-old, and was symptom free until she was thirteen-years-old. It was a long diagnosis process, because why would any doctor order an MRI on a child who looked so healthy; she was athletic, thin, and academically superior. When she was born I asked what was on the back of her leg, and was advised probably bruising from when they removed her. When it didn't go away the Pediatrician said it looked like a birth mark. The Dermatologist advised that it was a port wine birthmark that she could have removed when she was old enough to decide. After that yearly skin checks by a Dermatologist, because I believe in being cautious.  I am just wondering if this is something else that was missed that could have provided an earlier diagnosis of Moyamoya, because it is a vascular condition. There has been no diagnosis yet, but a Neurologist doesn't get a patient in this quickly, if they aren't concerned. I was just getting to the point that I didn't worry every day and it will be two years on December 24th.
Back to top
« Last Edit: Oct 2nd, 2007 at 3:59pm by The_Mom_of_J_and_K »  
 
IP Logged
 
mg12061
Old-Time Poster
*****
Offline



Posts: 946
Albany, USA, usa, 492, 84, NY, New_York
Gender: female
Re: MM and now Livedo Reticularis!
Reply #5 - Oct 10th, 2007 at 12:30pm
 
  Just posting so maybe if anyone missed it they might respond.I'm just very curious about this.Kathleen definatly ahs this look to her skin.The information is so sketchy about this I haven't decifered wether it worth seeking a diagnosis or not(I hate adding any tests or Dr. visits to our already long list) I have read that this has also occured in vessels of other organs,and the vessels of the brian  hhhhmmmmmm, and caused strokes.
Mary Grace
Back to top
  
rgrace5  
IP Logged
 
The_Mom_of_J_and_K
New Poster
*
Offline


I love YaBB 1G - SP1!

Posts: 14
Northampton, USA, PA, Pennsylvania
Gender: female
Re: MM and now Livedo Reticularis!
Reply #6 - Oct 10th, 2007 at 4:35pm
 
  My daughter saw the neurologist yesterday, and he diagnosed the Livedo Reticularis. It was like a cat and mouse game trying to get information out of him. He asked me how much I knew about this condition, and I advised him that I knew a fair amount, because I had been researching the condition. I asked him if after all the times her leg had been looked at if a diagnosis should have been made; he didn't give me a straight answer. He wasn't concerned about an underlying condition, because she had a battery of tests done for other auto-immune diseases when she was diagnosed, and they came back negative. I brought up Deep Vein Thrombosis which is associated with Livedo Reticularis, and he told us that she should always get up and walk around every two hours when we are taking a long trip in a plane or car. Mary Grace, I guess I would tell you to at least contact your daughter's neurologist and let them make a decision. My husband and I both agree we slept better last night knowing that she saw her doctor. We travel two hours to see her neurologist, but it was worth the peace of mind. Good Luclk!
Back to top
  
 
IP Logged
 
Monica
New Poster
*
Offline


Life is short...enjoy
it!

Posts: 39
Los Angeles
Gender: female
Re: MM and now Livedo Reticularis!
Reply #7 - Nov 8th, 2007 at 11:44am
 
Hi Guys!  Sorry for the late response but I've been getting the run around until I finally got some real answers and can finally post.

So back to the original diagnosis when speaking with the Texas research group.  After answering some of their questions regarding moyamoya, they thought that I might have Livedo Reticularis and asked for photos.  After I sent the photos, they confirmed the diagnosis.

After speaking with another doctor, he thought it was ridiculous to react to a visual diagnosis and said that that LR could be diagnosed through a blood test or a skin graph. 

So, I made an appointment with a neurosurgeon and he told me that I needed to see a skin specialist.  He made an extra point that it was important to see a specialist rather than just the average dermatologist.  So that's what I did.

I just had my appointment yesterday and when he saw my skin, he visually diagnosed LR and said that a blood test was not necessary.  On a side note, I have a permanent purple marbled look on my left forearm but when I'm cold have the purple marbled look (mottling) all over my arms and legs.  On the permanent mottling, he was concerned for a more serious condition, Livedo Racemosa and said a skin biopsy was needed.  So the doctor removed a piece of my skin in the affected area.  I've been trying to do some online searches for livedo racemosa but the info seems contradictory depending on the website.  All I know from my doctor is that Racemosa is a vascular disease.  I'm now waiting on my results and will update as soon as I know more. 

I did ask the doctor what I could do for Livedo Riticularis but unfortunately, there's not much that can be done he said.  Since the livedo reticularis is tied to climate, I asked him if living in a warm climate will help and he said, absolutely.  That's because the cold weather is what brings out the mottling. 

I have made the decision to move from Germany to Los Angeles in a year.  I do not want the mottling to become permanent on more places on my body. 

I'm better at responding via email, so if anyone wants to talk in further detail, please don't hesitate to email me at: moeblair@yahoo.com

Regards,
Monica   
Back to top
  
 
IP Logged
 
The_Mom_of_J_and_K
New Poster
*
Offline


I love YaBB 1G - SP1!

Posts: 14
Northampton, USA, PA, Pennsylvania
Gender: female
Re: MM and now Livedo Reticularis!
Reply #8 - Nov 9th, 2007 at 9:55am
 
Hi Everyone!  Monica, I read your post yesterday.  I agree that most of the information about Livedo Racemosa is vague, and generally  leads back to Livedo Reticularis.  I was wondering how you found a Skin Specialist? The best in my area were the very doctors who looked at her leg repeatedly and never even commented on the mark. She actually went to the Dermatologist the August before she was diagnosed. She went to a different Dermatologist when she was younger who diagnosed a port wine mark.  I have dealt with the Neurologist, who made the diagnosis, he assured me that since she had this all of her life and had all of the blood tests to rule out underlying conditions not to be concerned unless, she started exhibiting other symptoms. I said in my earlier post that her Neurologist wasn't forthcoming with information or discussing underlying issues with Livedo Reticularis.  I presented my concerns and questions, and he responded to them specifically. Maybe I should contact her Neuro/Vascular Surgeon for further direction, because he is the doctor I truly trust.  We live in the Lehigh Valley Area of Northeast PA.  Could anyone recommend a Skin Specialist?  We are willing to travel. I don't want to pick a doctor off of a website.  I'm not sure where to start again. I would be grateful for any suggestions.  Thanks!
Back to top
  
 
IP Logged
 
MMnewtUt
Junior Poster
**
Offline


Moyamoya survivor!

Posts: 62
Salt Lake, USA, usa, 129, 143, UT, Utah
Gender: female
Re: MM and now Livedo Reticularis!
Reply #9 - Nov 9th, 2007 at 1:23pm
 
Hello,
    I believe I have LR as well.  My legs are always mottled.  My feet are always ice cold.  If I sit for longer than 20 minutes my feet turn dark purple.
    Before I was diagnosed with MM my Internist also told me I had something called Fibro-Muscular-Dysplasia.  I have stenosis in the vessels in and around my kidneys.  I was wondering if anyone else might have it? Smiley             Newt
Back to top
« Last Edit: Nov 9th, 2007 at 1:28pm by MMnewtUt »  
 
IP Logged
 
Monica
New Poster
*
Offline


Life is short...enjoy
it!

Posts: 39
Los Angeles
Gender: female
Re: MM and now Livedo Reticularis!
Reply #10 - Nov 9th, 2007 at 2:21pm
 
Mom of J and K,

My doctor recommended that I go to a University Hospital that specializes in Skin.  Luckily there was one about an hour away from where I live.  University hospitals tend to be more up to date and more knowledgeable than other hospitals because they have the funding and time allocated for research.  I always ask for a specialist or the head of the department...I'm tired of wasting time going to doctors that dismiss me because I'm young and look healthy.  Also, when I make the appointments, I always ask if they are aware or knowlegable on LR or whatever problem I happen to have at the time.   Maybe you can ask the nuro surgeon to recommend a skin specialist.

Newt,
Sounds like the same symptoms I had.  My hands and feet are always cold...like ice blocks.  Sometimes one hand will stay cold and the other one will warm up a bit.  When I'm cold (which is always in Germany Smiley) I get the dark purple mottling on my arms and legs.  I never looked at my feet, since they're always in socks, but I guess I will now. 

I've never heard of FMD but I just looked it up now.  It's interesting because after my MM surgery, I went for an agio for my 6 mo. check up and during the angio an artery in my neck closed.  I posted a comment about it a long time ago, asking if anyone had MM in their neck or if it was possible?  But I just read that FMD occurs frequently in the neck.  hmmmm...I don't think I'm going to look into this now, I have too many problems as it is Wink hahaha

Good luck to both of you!  Let me know what happens. 

Monica
Back to top
  
 
IP Logged
 
MMnewtUt
Junior Poster
**
Offline


Moyamoya survivor!

Posts: 62
Salt Lake, USA, usa, 129, 143, UT, Utah
Gender: female
Re: MM and now Livedo Reticularis!
Reply #11 - Nov 9th, 2007 at 3:05pm
 
Hey Monica,
     Thanks for writing back.  I was just wondering where you live in Germany?    Newt
Back to top
  
 
IP Logged
 
Page Index Toggle Pages: 1
Send Topic Print



Moyamoya.com Forum » Powered by YaBB 2.4!
YaBB © 2000-2009. All Rights Reserved.


©2003-2018 Web Vision Enterprises LLC All Rights Reserved. All information on this site is protected by international copyright laws. You may not re-distribute any information from this site without written permission from Web Vision Enterprises LLC and the webmaster of this site. Violators will be prosecuted.

You may view our privacy policy and financial disclosure statement here





Valid RSS Valid XHTML Valid CSS Powered by Perl Source Forge