case_images: PMC6636589_01
case_images: Rash on the back with bullae, rash on the posterior aspect of legs, and desquamating rash on the back.
case_images: CRIDM2019-6830862.001.jpg
case_images: PMC6636589_01_CRIDM2019-6830862.001.jpg
case_images: fig1
case_images: Skin was warm and had desquamating rash on both lower extremities from hip down (Figure 1).
case_images: (a) The arrows indicate macrophages engulfing mostly the red blood cells (bean bag cells), (b) this is lobular panniculitis comprised of cellular infiltrate of lymphocytes, macrophages, and plasma cells, (c) septal panniculitis (highlighted), and (d) subepidermal bullous lesion.
case_images: CRIDM2019-6830862.002.jpg
case_images: PMC6636589_01_CRIDM2019-6830862.002.jpg
case_images: fig2
case_images: An autopsy was done that revealed CHP (Figure 2), Libman Sacks endocarditis, bilateral pleural effusion, proliferative and membranous lupus glomerular nephropathy, and bilateral adrenal hemorrhage.