case_images: PMC9054466_01
case_images: Maculopapular rash in the patient's bilateral upper and lower extremities.
case_images: CRIHEM2022-1099005.001.jpg
case_images: PMC9054466_01_CRIHEM2022-1099005.001.jpg
case_images: fig1
case_images: On exam, the patient had bilateral pink-to-erythematous, scattered, edematous papules with very few hemorrhagic changes (Figure 1).
case_images: Microscopic view of the pathological specimen from skin biopsy: spongiosis with focal intraepidermal vesiculation as well as papillary dermal edema with upper dermal neutrophilic and lymphocytic inflammation with extravasated erythrocytes.
case_images: CRIHEM2022-1099005.002.jpg
case_images: PMC9054466_01_CRIHEM2022-1099005.002.jpg
case_images: fig2
case_images: These findings, in the context of the clinical picture, were consistent with SS (Figure 2).