We report two cases of livedo reticularis masquerading as peripheral arterial disease (PAD).      

     In the first case report the patient has been followed up for 45 years. This patient presented with reticular discoloration of skin of lower limbs. Later on during the course the disease the patient developed hypoaesthesia of plantar aspect of right and left middle toe and also of plantar surface of left heel. The disease further progressed and the patient started experiencing pain in the calf muscles which started early on exertion esp. while playing.

   The second case is of a 44 years old, non diabetic male, smoking about 10 cigarettes/ day. He has been smoking for the last 16 years. He also reported of leg pain and had a large number of tiny lymphangiectasia papules and vesicles on his lower limbs.