What are the cases of livedo reticularis treatment? How to treat livedo reticularis?

Most patients have no symptoms and do not require special treatment. Bed rest is recommended for patients with ulcers. If the lower limb is swollen, it can be bandaged with an elastic bandage.

Vasodilators such as phenobenzamine hydrochloride, cycloamygdalin, nifedipine, and reserpine may also be used. For patients with lower limb ulcers who do not respond to the above **, lumbar sympathectomy can be considered. Avoiding exposure to cold as much as possible can reduce the degree of livedo reticularis.

Reticular leasis is a condition in which the blood in the blood vessels is manifested in the local blood vessels, and generally speaking, the constriction of the local blood vessels after a cold and the relative slow flow of blood in the blood vessels will cause this condition. Advice and guidance If it is more severe, it may lead to local intravascular ischemia causing intravascular thrombosis, and if the thrombus falls off, it will lead to very serious consequences, so avoid showering as much as possible and pay attention to keeping warm, which can avoid this happening.

For those with mild symptoms, keep warm and avoid exposing the limbs to the cold environment, no need to. Critically ill patients require medication**.

Routine care. 1.Pay attention to the cold and keep warm.

2.Bed rest is recommended for patients with ulcers.

3.If the lower limb is swollen, it can be bandaged with an elastic bandage.

4.Choose loose, soft clothing.

Drugs**. 1.For patients with ulcers, long-term anticoagulation and antifibrinolysis can be used**.

Anticoagulation with subcutaneous heparin**.

Oral phenformin and ethinylestradiol.

Intravenous infusion of streptokinase, urokinase, and dextran.

2.In patients with concomitant hypertension, blood pressure can be controlled by oral guanethidine.

3.The use of vasodilators can effectively relieve the blue-purple reticular macules, and niacin and nifedipine are commonly used.

4.Oral administration of Danshen tablets or intravenous infusion of Danshen liquid can also help relieve symptoms.

5.If other drugs can't be controlled, moderate doses of corticosteroids** may be used.

Primary livedo reticularis generally does not require ** and resolves on its own. For secondary patients, more drugs are used to relieve symptoms, and the primary disease is symptomatic**, and most patients need long-term persistence**.

1. Drugs**:

Tolazolin. It is a short-acting receptor blocker, which can dilate the peripheral blood vessels and reduce blood stasis. Patients with gastric ulcer, coronary arteriosclerosis, renal insufficiency, collapse and shock are contraindicated. There may be headache, flushing, tachycardia, arrhythmia, tinnitus, and a feeling of cold.

Niacin belongs to the vitamin B group, which has a certain vasodilating effect and alleviates the symptoms of livedo reticularis caused by blood stasis. Helps to improve immunity and avoid damage to the sebaceous glands. Helps to avoid hyperpigmentation and promotes wound recovery.

Scycyamine. It can inhibit smooth muscle spasm, reduce blood viscosity, inhibit thrombosis, and alleviate the symptoms of livedo reticularis. Common ones are dry mouth, sweating, palpitations, blurred vision, etc. Contraindicated in patients with glaucoma and enlarged prostate.

Troxerutin. It can inhibit the aggregation of platelets, prevent thrombosis, and reduce the effect of reticular liveliness. Occasionally, gastrointestinal reactions manifest as nausea and constipation.

2. Surgery**.

Livedo reticularis generally does not require surgery**.

PrognosisThe prognosis of livedo reticularis is related to the primary disease, and most patients can ** and do not affect the natural lifespan, if it does not progress in time**, it will lead to**vitiligo and ulcers. Patients need to be rechecked every week during the ** period to check the monitoring of ** effect.

Can**. Most patients with livedo reticularia can be **, and some secondary patients are not easy to do due to the severity of the primary disease**.

Livedo reticularia is a type of vasculitis. The specific cause of this disease is less clear, and it is mainly manifested as reticulate, blue-brown patches on the outer thighs. Heparin sodium cream is commonly applied externally, along with oral antihistamines and corticosteroids.

Usually, loratadine or levocetirizine hydrochloride can be taken orally, plus prednisone or dexamethasone. It can also be used in combination with Chinese patent medicines, such as blood circulation and stasis removal capsules, etc., and it is necessary to pay attention to local warmth while taking the medicine

Levido reticularis is a vascular disease caused by a variety of causes** local circulatory disorders. It is characterized by the presence of persistent bluish-purple reticular changes in **. Generally, the effect of traditional Chinese medicine is good, pay attention to cold protection and warmth.

Traditional Chinese medicine: such as salvia preparations, oral or intravenous administration.

Livedo reticularis is a localized purple-blue reticular livedo that occurs due to local vasomotor dysfunction, resulting in spasm of arteries and dilation of small veins, and blood stasis. According to its pathogenesis, it is divided into primary and secondary, the former is a physiological phenomenon, which is more common in normal children and adult women; The latter is the first manifestation of some diseases.

a). 1.Patients with primary livedo reticularia only need to be given general symptomatic treatment, such as keeping warm, avoiding exposing the affected part to a cold environment, and preventing the formation of ulcers on the affected part. Vasodilator drugs can be used, such as hyoscyamine, niacin (nicotinic acid), niacin inositol (niacin inositol lipid), dextran 40 (low molecular weight dextran) and mailuoning, etc., and can also be used to promote blood circulation and eliminate blood stasis Chinese medicines such as salvia, safflower, Chuanxiong, etc.

2.Patients with secondary livedo reticularis secondary to various systemic or systemic diseases, and those who are allergic to drugs should be given targeted according to **, and drugs to improve **microcirculation, as well as local warmth, etc.

ii) Prognosis. Patients with primary livedo reticularis have a good natural prognosis, and the course of the disease usually lasts for months or years before resolving spontaneously. The prognosis of patients with livedo reticularis secondary to systemic or systemic disease is closely related to the primary disease.

Primary patients do not need special **, pay attention to cold protection and warmth; Secondary disease should be directed at the primary condition**.

Drugs**. Vasodilators: alleviate blood stasis; Representative drugs are tolatolin and niacin.

Drugs to reduce blood viscosity: improve microcirculation and avoid the formation of blood clots; Representative drugs include snake venom proteolytic enzyme, troxerutin, hyoscyamine, etc.

Disease development and prognosis.

Patients with primary livedo reticulularis have a good prognosis, and the course of the disease usually lasts for months or years before resolving spontaneously. In patients with livedo reticularis secondary to systemic or systemic diseases, if the primary disease is developed in time, livedo reticularis can disappear without sequelae.

Secondary livedo reticularis, if not timely, is easy, especially after cold, ulcers and leukoplakia can form, and the prognosis is closely related to the primary disease. For example, uremia patients need long-term dialysis, and once cardiopulmonary complications (such as heart failure, lung infection) occur, the prognosis is poor; However, the prognosis of patients with streptococcal infection causing livedo reticularia has a better prognosis after anti-infection**.

The ** of livedo reticularia should be cautious, because this disease is easy to be confused with other diseases, and it is necessary to carefully distinguish ** and symptoms. Whether it is primary livedo reticularis or secondary livedo reticularis, patients need to actively cooperate with the doctor to do a good job of examination and progress, do not delay time, so as not to affect the disease, and at the same time, the speed will slow down, and at the same time, you need to pay attention to life care.

The above is to introduce to you whether the reticular livedo can be cured and the best method, patients with reticular livedo are best to find the cause of the disease, according to the ** to choose the appropriate ** method, to combine the characteristics and types of reticular livedo ... In life, if you have a disease, you should be treated as soon as possible, and do not delay time, so as not to lead to other pathologies. **The difficulty will also increase.