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Analysis of serum levels and cutaneous expression of lipoprotein (a) in 38 patients with livedoid vasculopathy

Background Coagulation disorders contribute to the development of livedoid vasculopathy (LV). Elevated plasma levels of lipoprotein(a) [Lp(a)] are an independent risk factor for the development of cardiovascular disease and associated with hypercoagulable states. Increased serum Lp(a) levels have be...

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Published in:Journal of cutaneous pathology 2017-12, Vol.44 (12), p.1033-1037
Main Authors: Espinel, Danielle P.G.S., Di Giacomo, Thais B., Pincelli, Thais P., Pereira, Naiura V., Sotto, Miriam N., Kirsner, Robert S., Criado, Paulo R.
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cited_by cdi_FETCH-LOGICAL-c3533-abec2c6cc2f90dcda44999c86dc220d8f9224488899dd0660adc4e43775fe0ce3
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container_issue 12
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container_title Journal of cutaneous pathology
container_volume 44
creator Espinel, Danielle P.G.S.
Di Giacomo, Thais B.
Pincelli, Thais P.
Pereira, Naiura V.
Sotto, Miriam N.
Kirsner, Robert S.
Criado, Paulo R.
description Background Coagulation disorders contribute to the development of livedoid vasculopathy (LV). Elevated plasma levels of lipoprotein(a) [Lp(a)] are an independent risk factor for the development of cardiovascular disease and associated with hypercoagulable states. Increased serum Lp(a) levels have been reported in patients with LV and may have an important role in the pathogenesis of LV. Objectives To investigate Lp(a) expression in skin lesions and circulating serum Lp(a) levels in patients with LV. Methods Skin biopsy samples from 38 patients (27 women and 11 men) with active lesions diagnosed as LV and 9 samples of normal skin (5 women and 4 men) from control patients without LV were evaluated for skin expression of Lp(a) by immunohistochemistry. Plasma levels of Lp(a) were analyzed by immunoturbidimetry. Results We found that lesional skin in patients with LV expressed 10‐fold higher Lp(a) immunostaining than controls. High plasma levels of Lp(a) were observed in LV patients. We did not find a correlation (P = .02) between expression of Lp(a) in the skin and plasma levels of Lp(a) in patients with LV. Conclusions Increased Lp(a) expression in lesional skin of LV patients suggests the role of Lp(a) in the thrombo‐occlusive vasculopathy observed in this disease.
doi_str_mv 10.1111/cup.13043
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Elevated plasma levels of lipoprotein(a) [Lp(a)] are an independent risk factor for the development of cardiovascular disease and associated with hypercoagulable states. Increased serum Lp(a) levels have been reported in patients with LV and may have an important role in the pathogenesis of LV. Objectives To investigate Lp(a) expression in skin lesions and circulating serum Lp(a) levels in patients with LV. Methods Skin biopsy samples from 38 patients (27 women and 11 men) with active lesions diagnosed as LV and 9 samples of normal skin (5 women and 4 men) from control patients without LV were evaluated for skin expression of Lp(a) by immunohistochemistry. Plasma levels of Lp(a) were analyzed by immunoturbidimetry. Results We found that lesional skin in patients with LV expressed 10‐fold higher Lp(a) immunostaining than controls. High plasma levels of Lp(a) were observed in LV patients. We did not find a correlation (P = .02) between expression of Lp(a) in the skin and plasma levels of Lp(a) in patients with LV. Conclusions Increased Lp(a) expression in lesional skin of LV patients suggests the role of Lp(a) in the thrombo‐occlusive vasculopathy observed in this disease.</description><identifier>ISSN: 0303-6987</identifier><identifier>EISSN: 1600-0560</identifier><identifier>DOI: 10.1111/cup.13043</identifier><identifier>PMID: 28901563</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Biopsy ; Female ; Humans ; Immunohistochemistry ; Leg Ulcer - complications ; Leg Ulcer - pathology ; leg ulcers ; lipoprotein (a) ; Lipoprotein(a) - blood ; Lipoprotein(a) - metabolism ; Livedo Reticularis - blood ; Livedo Reticularis - complications ; Livedo Reticularis - metabolism ; Livedo Reticularis - pathology ; livedoid vasculopathy ; Male ; Middle Aged ; Plasma ; Plasma levels ; Serum levels ; Skin - metabolism ; Skin - pathology ; Skin diseases ; Skin Diseases - metabolism ; Skin Diseases - pathology ; thrombophilia ; Thrombophilia - metabolism ; Thrombophilia - physiopathology ; thrombosis ; Vascular Diseases ; Young Adult</subject><ispartof>Journal of cutaneous pathology, 2017-12, Vol.44 (12), p.1033-1037</ispartof><rights>2017 John Wiley &amp; Sons A/S. 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Published by John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3533-abec2c6cc2f90dcda44999c86dc220d8f9224488899dd0660adc4e43775fe0ce3</citedby><cites>FETCH-LOGICAL-c3533-abec2c6cc2f90dcda44999c86dc220d8f9224488899dd0660adc4e43775fe0ce3</cites><orcidid>0000-0001-9785-6099 ; 0000-0001-9020-109X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28901563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Espinel, Danielle P.G.S.</creatorcontrib><creatorcontrib>Di Giacomo, Thais B.</creatorcontrib><creatorcontrib>Pincelli, Thais P.</creatorcontrib><creatorcontrib>Pereira, Naiura V.</creatorcontrib><creatorcontrib>Sotto, Miriam N.</creatorcontrib><creatorcontrib>Kirsner, Robert S.</creatorcontrib><creatorcontrib>Criado, Paulo R.</creatorcontrib><title>Analysis of serum levels and cutaneous expression of lipoprotein (a) in 38 patients with livedoid vasculopathy</title><title>Journal of cutaneous pathology</title><addtitle>J Cutan Pathol</addtitle><description>Background Coagulation disorders contribute to the development of livedoid vasculopathy (LV). Elevated plasma levels of lipoprotein(a) [Lp(a)] are an independent risk factor for the development of cardiovascular disease and associated with hypercoagulable states. Increased serum Lp(a) levels have been reported in patients with LV and may have an important role in the pathogenesis of LV. Objectives To investigate Lp(a) expression in skin lesions and circulating serum Lp(a) levels in patients with LV. Methods Skin biopsy samples from 38 patients (27 women and 11 men) with active lesions diagnosed as LV and 9 samples of normal skin (5 women and 4 men) from control patients without LV were evaluated for skin expression of Lp(a) by immunohistochemistry. Plasma levels of Lp(a) were analyzed by immunoturbidimetry. Results We found that lesional skin in patients with LV expressed 10‐fold higher Lp(a) immunostaining than controls. High plasma levels of Lp(a) were observed in LV patients. We did not find a correlation (P = .02) between expression of Lp(a) in the skin and plasma levels of Lp(a) in patients with LV. Conclusions Increased Lp(a) expression in lesional skin of LV patients suggests the role of Lp(a) in the thrombo‐occlusive vasculopathy observed in this disease.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biopsy</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Leg Ulcer - complications</subject><subject>Leg Ulcer - pathology</subject><subject>leg ulcers</subject><subject>lipoprotein (a)</subject><subject>Lipoprotein(a) - blood</subject><subject>Lipoprotein(a) - metabolism</subject><subject>Livedo Reticularis - blood</subject><subject>Livedo Reticularis - complications</subject><subject>Livedo Reticularis - metabolism</subject><subject>Livedo Reticularis - pathology</subject><subject>livedoid vasculopathy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Plasma</subject><subject>Plasma levels</subject><subject>Serum levels</subject><subject>Skin - metabolism</subject><subject>Skin - pathology</subject><subject>Skin diseases</subject><subject>Skin Diseases - metabolism</subject><subject>Skin Diseases - pathology</subject><subject>thrombophilia</subject><subject>Thrombophilia - metabolism</subject><subject>Thrombophilia - physiopathology</subject><subject>thrombosis</subject><subject>Vascular Diseases</subject><subject>Young Adult</subject><issn>0303-6987</issn><issn>1600-0560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp10U9P2zAYBnBrGhoFdtgXmCztAofA69hx7WNV8U-qBAc4R679RjVy4yxOyvrt5xK2AxK-vAf_9Mh-H0J-MLhk-VzZsbtkHAT_QmZMAhRQSfhKZsCBF1Kr-TE5SekFgEklq2_kuFQaWCX5jLSL1oR98onGhibsxy0NuMOQqGkdteNgWoxjovin6zElH9sDDL6LXR8H9C09Nxc0D65oZwaP7ZDoqx822ezQRe_oziQ7hphvN_szctSYkPD7-zwlzzfXT8u7YvVwe79crArLK84Ls0ZbWmlt2Whw1hkhtNZWSWfLEpxqdFkKoZTS2jmQEoyzAgWfz6sGwSI_JedTbn7l7xHTUG99shjC9J2aaa5kXhiDTH99oC9x7PNWDkpKzUAokdXFpGwfU-qxqbveb02_rxnUhxLqXEL9VkK2P98Tx_UW3X_5b-sZXE3g1Qfcf55UL58fp8i_iHqRdw</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Espinel, Danielle P.G.S.</creator><creator>Di Giacomo, Thais B.</creator><creator>Pincelli, Thais P.</creator><creator>Pereira, Naiura V.</creator><creator>Sotto, Miriam N.</creator><creator>Kirsner, Robert S.</creator><creator>Criado, Paulo R.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9785-6099</orcidid><orcidid>https://orcid.org/0000-0001-9020-109X</orcidid></search><sort><creationdate>201712</creationdate><title>Analysis of serum levels and cutaneous expression of lipoprotein (a) in 38 patients with livedoid vasculopathy</title><author>Espinel, Danielle P.G.S. ; Di Giacomo, Thais B. ; Pincelli, Thais P. ; Pereira, Naiura V. ; Sotto, Miriam N. ; Kirsner, Robert S. ; Criado, Paulo R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3533-abec2c6cc2f90dcda44999c86dc220d8f9224488899dd0660adc4e43775fe0ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biopsy</topic><topic>Female</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Leg Ulcer - complications</topic><topic>Leg Ulcer - pathology</topic><topic>leg ulcers</topic><topic>lipoprotein (a)</topic><topic>Lipoprotein(a) - blood</topic><topic>Lipoprotein(a) - metabolism</topic><topic>Livedo Reticularis - blood</topic><topic>Livedo Reticularis - complications</topic><topic>Livedo Reticularis - metabolism</topic><topic>Livedo Reticularis - pathology</topic><topic>livedoid vasculopathy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Plasma</topic><topic>Plasma levels</topic><topic>Serum levels</topic><topic>Skin - metabolism</topic><topic>Skin - pathology</topic><topic>Skin diseases</topic><topic>Skin Diseases - metabolism</topic><topic>Skin Diseases - pathology</topic><topic>thrombophilia</topic><topic>Thrombophilia - metabolism</topic><topic>Thrombophilia - physiopathology</topic><topic>thrombosis</topic><topic>Vascular Diseases</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Espinel, Danielle P.G.S.</creatorcontrib><creatorcontrib>Di Giacomo, Thais B.</creatorcontrib><creatorcontrib>Pincelli, Thais P.</creatorcontrib><creatorcontrib>Pereira, Naiura V.</creatorcontrib><creatorcontrib>Sotto, Miriam N.</creatorcontrib><creatorcontrib>Kirsner, Robert S.</creatorcontrib><creatorcontrib>Criado, Paulo R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cutaneous pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Espinel, Danielle P.G.S.</au><au>Di Giacomo, Thais B.</au><au>Pincelli, Thais P.</au><au>Pereira, Naiura V.</au><au>Sotto, Miriam N.</au><au>Kirsner, Robert S.</au><au>Criado, Paulo R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of serum levels and cutaneous expression of lipoprotein (a) in 38 patients with livedoid vasculopathy</atitle><jtitle>Journal of cutaneous pathology</jtitle><addtitle>J Cutan Pathol</addtitle><date>2017-12</date><risdate>2017</risdate><volume>44</volume><issue>12</issue><spage>1033</spage><epage>1037</epage><pages>1033-1037</pages><issn>0303-6987</issn><eissn>1600-0560</eissn><abstract>Background Coagulation disorders contribute to the development of livedoid vasculopathy (LV). Elevated plasma levels of lipoprotein(a) [Lp(a)] are an independent risk factor for the development of cardiovascular disease and associated with hypercoagulable states. Increased serum Lp(a) levels have been reported in patients with LV and may have an important role in the pathogenesis of LV. Objectives To investigate Lp(a) expression in skin lesions and circulating serum Lp(a) levels in patients with LV. Methods Skin biopsy samples from 38 patients (27 women and 11 men) with active lesions diagnosed as LV and 9 samples of normal skin (5 women and 4 men) from control patients without LV were evaluated for skin expression of Lp(a) by immunohistochemistry. Plasma levels of Lp(a) were analyzed by immunoturbidimetry. Results We found that lesional skin in patients with LV expressed 10‐fold higher Lp(a) immunostaining than controls. High plasma levels of Lp(a) were observed in LV patients. We did not find a correlation (P = .02) between expression of Lp(a) in the skin and plasma levels of Lp(a) in patients with LV. Conclusions Increased Lp(a) expression in lesional skin of LV patients suggests the role of Lp(a) in the thrombo‐occlusive vasculopathy observed in this disease.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>28901563</pmid><doi>10.1111/cup.13043</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-9785-6099</orcidid><orcidid>https://orcid.org/0000-0001-9020-109X</orcidid></addata></record>
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subjects Adolescent
Adult
Biopsy
Female
Humans
Immunohistochemistry
Leg Ulcer - complications
Leg Ulcer - pathology
leg ulcers
lipoprotein (a)
Lipoprotein(a) - blood
Lipoprotein(a) - metabolism
Livedo Reticularis - blood
Livedo Reticularis - complications
Livedo Reticularis - metabolism
Livedo Reticularis - pathology
livedoid vasculopathy
Male
Middle Aged
Plasma
Plasma levels
Serum levels
Skin - metabolism
Skin - pathology
Skin diseases
Skin Diseases - metabolism
Skin Diseases - pathology
thrombophilia
Thrombophilia - metabolism
Thrombophilia - physiopathology
thrombosis
Vascular Diseases
Young Adult
title Analysis of serum levels and cutaneous expression of lipoprotein (a) in 38 patients with livedoid vasculopathy
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