Livedo reticularis: When is it a concern?

    What causes livedo reticularis? When should I see a doctor?

    Livedo reticularis is thought to be due to spasms of the blood vessels or a problem of the blood flow near the skin surface. It makes the skin look mottled in sort of a net pattern with clear borders. The condition most often shows up on the legs.

    Sometimes livedo reticularis is simply the result of being chilled. And it may occur as a side effect of certain medications. A rarer, related condition called livedo racemosa may be caused by a serious underlying condition.

    When to see a doctor

    The condition usually clears up without treatment. See your health care provider if:

    • The discolored, mottled skin doesn't go away with warming
    • You have discolored, mottled skin along with other symptoms that concern you
    • Painful lumps develop in the affected skin
    • Sores develop in the affected skin
    • You also have a condition that affects the blood flow in your limbs
    • Your skin symptoms are new and you have a connective tissue disease
    1. AskMayoExpert. Livedo reticularis and livedo racemosa. Mayo Clinic; 2021.
    2. Kang S, et al., eds. Cutaneous changes in arterial, venous, and lymphatic dysfunction. In Fitzpatrick's Dermatology. 9th ed. McGraw Hill; 2019. https://accessmedicine.mhmedical.com. Accessed March 15, 2022.
    3. Medical review (expert opinion). Mayo Clinic. March 29, 2022.

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