case_images: PMC4763579_01
case_images: Nonblanchable macules and petechiae on lower extremity
case_images: IDOJ-7-40-g001.jpg
case_images: PMC4763579_01_IDOJ-7-40-g001.jpg
case_images: F1
case_images: Cutaneous examination revealed erythematous to hyperpigmented nonblanchable, nontender macules and petechial lesions over both the lower extremities [Figure 1].
case_images: Dilated superficial vessels with pinkish hyaline deposit in the vessel wall. (Hematoxylin and Eosin x100)
case_images: IDOJ-7-40-g002.jpg
case_images: PMC4763579_01_IDOJ-7-40-g002.jpg
case_images: F2
case_images: The affected vessels showed abundant pink collagenous deposit in the wall and moderately dense lymphocytic infiltrate around them [Figures 2 and 3].
case_images: Dilated superficial vessels with pink hyaline deposit in the vessel wall. (Hematoxylin and Eosin x400)
case_images: IDOJ-7-40-g003.jpg
case_images: PMC4763579_01_IDOJ-7-40-g003.jpg
case_images: F3
case_images: The affected vessels showed abundant pink collagenous deposit in the wall and moderately dense lymphocytic infiltrate around them [Figures 2 and 3].
case_images: PAS positive hyaline deposit in the vessel wall. (Periodic Acid Schiff x400)
case_images: IDOJ-7-40-g004.jpg
case_images: PMC4763579_01_IDOJ-7-40-g004.jpg
case_images: F4
case_images: The collagenous deposits in the vessel walls were Periodic Acid Schiff (PAS) positive [Figure 4].