Livedo racemosa secondary to hyaluronic acid injection

Clinical Images: A Strange Reaction After a Hyaluronic Acid Injection

“…It is a rare condition, affecting mainly the face after aesthetic procedures, 1 with only four cases reported after intra-articular HA injection. 2,3 Onset varies from 12 hours to 1 month after injection. Our patient showed progressive improvement after hyperbaric chamber sessions and probable natural elimination of HA.…”

“…Given the anatomic–clinical correlation, a diagnosis of livedo reticularis due to intra‐articular injection of HA was retained, with tissue necrosis caused by a vascular thrombosis following embolization of the product after injection into a vessel. It is a rare condition, affecting mainly the face after aesthetic procedures, 1 with only four cases reported after intra‐articular HA injection 2,3 . Onset varies from 12 hours to 1 month after injection.…”