Acroangiodermatitis has been described in amputees (especially in those with poorly fitting suction-type devices), in patients with paralyzed legs, in patients undergoing hemodialysis (from arteriovenous shunts distally), and in association with hepatitis C. It has been documented in chronic venous insufficiency and in vascular malformations (eg, Klippel-Trenaunay syndrome, Stewart-Bluefarb syndrome, Prader-Labhart-Willi syndrome).
Severe chronic venous stasis and the insufficiency of the calf muscle pump
Severe chronic venous stasis and failure of the calf muscle pump could have resulted in the elevated capillary pressure causing reactive vascular proliferation and clinically presenting as lesions of acroangiodermatitis.
Acroangiodermatitis of Mali is usualy caused by chronic venous
insufficiency
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