case_images: PMC8504934_01
case_images: Periorbital purpura; skin changes in this patient.
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case_images: Non-blanchable erythematous patches were noticed at both upper eyelids (Figure 1).
case_images: Treatment and coagulogram at previous hospital.
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case_images: During admission at that primary hospital, her laboratory tests showed prolonged prothrombin time (PT) and prolonged activated thromboplastin time (aPTT) with no recovery after plasma and vitamin K replacement (Figure 2).
case_images: Bone marrow aspirate smear.
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case_images: Bone marrow Wright's stain and pathological examination showed 50-60% infiltrations of kappa+/CD20+ small lympho-plasmacytoid lymphoid cells (Figure 3).