case_images: PMC5312191_01
case_images: Right lower limb: aspect before treatment. Three deep ulcers on the
  lateral aspect and an ulcer in the medial region of the limb reaching
  the subcutaneous tissue, with violaceous regular and undermined
  edges
case_images: abd-92-01-0114-gf01.jpg
case_images: PMC5312191_01_abd-92-01-0114-gf01.jpg
case_images: f1
case_images: We also observed two other ulcerated lesions on the lateral side of the RLL and an ulcer on the medial side of the RLL with similar characteristics (Figure 1).
case_images: Left lower limb: aspect before treatment. On the left, deep ulcer with
  violaceous irregular and macerated edges in left medial malleolus
  region, with smaller adjacent ulceration. On the right, ulcer on the
  anteromedial aspect of the limb. We also observed atrophic scars caused
  by previous ulcers.
case_images: abd-92-01-0114-gf02.jpg
case_images: PMC5312191_01_abd-92-01-0114-gf02.jpg
case_images: f2
case_images: A total of seven ulcers were observed (Figure 2).
case_images: Histopathology. Ulcerated area with granulation tissue, recent
  hemorrhage, perivascular mononuclear inflammatory infiltrate and
  fibrosis (Hematoxylin & eosin x40)
case_images: abd-92-01-0114-gf03.jpg
case_images: PMC5312191_01_abd-92-01-0114-gf03.jpg
case_images: f3
case_images: Histopathological study of a lesion revealed unspecific, ulcerated, and chronic inflammation process (Figures 3 and 4).
case_images: Histopathology. Histological detail showing inflammatory infiltrate
  composed of lymphocytes arranged around vessels (Hematoxylin & eosin
  x100)
case_images: abd-92-01-0114-gf04.jpg
case_images: PMC5312191_01_abd-92-01-0114-gf04.jpg
case_images: f4
case_images: Histopathological study of a lesion revealed unspecific, ulcerated, and chronic inflammation process (Figures 3 and 4).
case_images: One month after the initiation of treatment. Healing ulcers on the right
  (A) and left (B) lower limbs. Re-epithelialization occurs from the edges
  of the lesion
case_images: abd-92-01-0114-gf05.jpg
case_images: PMC5312191_01_abd-92-01-0114-gf05.jpg
case_images: f5
case_images: The patient returned a month after discharge showing healing process in the ulcers (Figure 5).
case_images: Three months after initiation of treatment. Complete healing of ulcers on
  the lateral aspect of the right lower limb
case_images: abd-92-01-0114-gf06.jpg
case_images: PMC5312191_01_abd-92-01-0114-gf06.jpg
case_images: f6
case_images: At the time, we reduced the prednisone dose to 20 mg/daily and kept emollient topical care (Figure 6).