Acroangiodermatitis of Mali is a rare cutaneous condition often characterized by purplish-blue to brown papules and plaques on the medial and lateral malleolus of both legs.
Patients present with itchy, painful, confluent, violaceous or brown-black macules, papules or plaques usually at the distal lower limbs.
The histologic features are capillary proliferation and perivascular inflammation involving eosinophils in the dermis with minimal epidermal changes.
Management includes compression therapy, wound care and surgical correction of AVM.
Dapsone combined with leg elevation and compression, and erythromycin for HD patients with AV fistulas have also been reported.