Livedoid vasculopathy is a chronic cutaneous disease seen predominantly in young to middle-aged women. One synonym used to describe its features is 'Painful purpuric ulcers with reticular pattern of the lower extremities' (PURPLE). Livedoid vasculopathy is a chronic cutaneous disease seen predominantly in young to middle-aged women. One synonym used to describe its features is 'Painful purpuric ulcers with reticular pattern of the lower extremities' (PURPLE). It can be divided into a primary (or idiopathic) form and a secondary form, which has been associated with a number of diseases, including chronic venous hypertension and varicosities.:343