Livedoid vasculopathy is a painful, ulcerating condition of the lower legs, ankles and feet with the typical histological feature of hyalinising vascular change of dermal blood vessels with minimal inflammation. Therapeutic interventions have been diverse and varyingly successful. We report a biopsy-proven case in a 27-year-old male, which responded rapidly and completely to hyperbaric oxygen therapy. A few such cases have been reported previously, but only in dermatological journals, not in the hyperbaric medicine literature.
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