Sneddon syndrome is a type of systemic non-inflammatory vasculopathy characterized by livedo reticularis and progressive and occlusive cerebrovascular thrombosis involving the medium-sized arteries.
- livedo reticularis as a skin manifestation
- progressive cerebral strokes and hemorrhage
- cerebral dysfunction
It is characterized by intimal hyperplasia of medium-sized arteries with unknown etiology. Half of the patients also have antiphospholipid syndrome. Skin biopsy is diagnostic.
CT and MRI show non-specific infarcts and cortical atrophy. Angiography shows stenosis or occlusion of medium-sized arteries and large networks of collateral small vessels.
- Divry van Bogaert syndrome
- juvenile-onset of progressive cognitive impairment / juvenile dementia, severe leukoaraiosis / juvenile stroke
- cerebral angiogram shows extensive, multifocal occlusions of peripheral small and medium-sized cerebral arteries and a network of small corkscrew-like collaterals
Treatment and prognosis
There is no effective treatment to control disease progression but long-term antiplatelet therapy and anticoagulation are commonly used in cases with cerebral manifestations.