case_images: PMC11249473_01
case_images: Increased leg circumference on the left side with large confluent reddish livid ecchymoses.
case_images: cde-2024-0016-0001-538916_F01.jpg
case_images: PMC11249473_01_cde-2024-0016-0001-538916_F01.jpg
case_images: F1
case_images: On clinical examination, the patient presented in reduced general and nutritional condition with an increased circumference of the left leg with large confluent reddish livid ecchymoses (Fig. 1).
case_images: Multiple livid follicular macules and papules predominantly on the extremities.
case_images: cde-2024-0016-0001-538916_F02.jpg
case_images: PMC11249473_01_cde-2024-0016-0001-538916_F02.jpg
case_images: F2
case_images: In addition, disseminated reddish brown follicular papules were found on both legs (Fig. 2, 3).
case_images: Skin biopsy revealed follicular hyperkeratosis with coiled, distorted hair shafts (A) and in the upper dermis (B) perivascular and perifollicular extravasated erythrocytes (a) and siderophages (b). Hematoxylin and eosin (HE)-staining, x40 (A) and x100 (B) magnification, respectively.
case_images: cde-2024-0016-0001-538916_F03.jpg
case_images: PMC11249473_01_cde-2024-0016-0001-538916_F03.jpg
case_images: F3
case_images: In addition, disseminated reddish brown follicular papules were found on both legs (Fig. 2, 3).