case_images: PMC11830495_01
case_images: Clinical findings at initial presentation (A) and after one month of treatment (B): pruritic eruption characterized by shiny, purpuric, polygonal papules ranging from 4-5 mm to 1 cm in size, coalescing into plaques, located on the posterior trunk, showing favorable response to treatment
case_images: cureus-0017-00000077579-i01.jpg
case_images: PMC11830495_01_cureus-0017-00000077579-i01.jpg
case_images: FIG1
case_images: She presented to our department with a generalized pruritic eruption characterized by shiny, purpuric, polygonal papules ranging from 4-5 mm to 1 cm in size, coalescing into plaques (Figures 1-3).
case_images: Clinical findings at initial presentation (A) and after one month of treatment (B): pruritic eruption characterized by shiny, purpuric, polygonal papules, located on the left upper limb, showing favorable response to treatment
case_images: cureus-0017-00000077579-i02.jpg
case_images: PMC11830495_01_cureus-0017-00000077579-i02.jpg
case_images: FIG2
case_images: She presented to our department with a generalized pruritic eruption characterized by shiny, purpuric, polygonal papules ranging from 4-5 mm to 1 cm in size, coalescing into plaques (Figures 1-3).
case_images: Clinical findings at initial presentation (A) and after one month of treatment (B): pruritic eruption characterized by shiny, purpuric, polygonal papules, located on the backs of the hands, showing favorable response to treatment
case_images: cureus-0017-00000077579-i03.jpg
case_images: PMC11830495_01_cureus-0017-00000077579-i03.jpg
case_images: FIG3
case_images: She presented to our department with a generalized pruritic eruption characterized by shiny, purpuric, polygonal papules ranging from 4-5 mm to 1 cm in size, coalescing into plaques (Figures 1-3).
case_images: Histopathological findings: (A) moderate focal orthokeratosis, hypergranulosis, and acanthosis and (B) rare apoptotic keratinocytes (Civatte bodies (arrows)) at the basal layer, accompanied by a moderate band-like lymphocytic infiltrate at the dermo-epidermal junction and vacuolar degeneration of the basal epithelium (A: H&E x100; B: H&E x200). H&E: hematoxylin and eosin
case_images: cureus-0017-00000077579-i04.jpg
case_images: PMC11830495_01_cureus-0017-00000077579-i04.jpg
case_images: FIG4
case_images: Histopathological analysis showed moderate focal orthokeratosis, hypergranulosis, and acanthosis, along with rare apoptotic keratinocytes (Civatte bodies) at the basal layer, accompanied by a moderate band-like lymphocytic infiltrate at the dermo-epidermal junction and vacuolar degeneration of the basal epithelium (Figure 4).