case_images: PMC11759085_01
case_images: Bilateral lower extremity epidermal ulcers.
case_images: jchim-15-01-089f1.jpg
case_images: PMC11759085_01_jchim-15-01-089f1.jpg
case_images: f1-jchim-15-01-089
case_images: A 30-year-old African American female with a medical history significant for polysubstance abuse (including heroin, cocaine, and marijuana), nicotine use disorder, iron deficiency anemia, and hypertension presented to the emergency department with worsening extensive bilateral chronic leg wounds [Figs. 1 and 2].
case_images: Epidermal ulceration with mixed inflammatory infiltrates including neutrophils, histiocytes, plasma cells, and eosinophils. There is inflammation of small and medium-sized vessels associated with fibrin thrombi and destruction of vascular walls.
case_images: jchim-15-01-089f2.jpg
case_images: PMC11759085_01_jchim-15-01-089f2.jpg
case_images: f2-jchim-15-01-089
case_images: A 30-year-old African American female with a medical history significant for polysubstance abuse (including heroin, cocaine, and marijuana), nicotine use disorder, iron deficiency anemia, and hypertension presented to the emergency department with worsening extensive bilateral chronic leg wounds [Figs. 1 and 2].