case_images: PMC9925237_01
case_images: Patient presentation at rash onset.
case_images: CRIDM2023-9001287.001.jpg
case_images: PMC9925237_01_CRIDM2023-9001287.001.jpg
case_images: fig1
case_images: At the clinic visit, physical examination was notable for scattered pink dermal papules with a dusky red center bilateral dorsal and palmar hands, as well as bilateral conjunctival erythema (Figure 1).
case_images: Histology on low (hematoxylin-eosin stain; original magnifications: (a) x 20) and high (hematoxylin-eosin stain; original magnifications: (b) x 200) power show a moderately dense perivascular and interstitial inflammatory infiltrate composed of lymphocytes, histiocytes, and numerous neutrophils with surrounding papillary dermal edema. (c)/(d). High power views demonstrate scattered nuclear dust (karyorrhexis) and fibrin within the walls of the small blood vessels with extravasation of red blood cells in the surrounding stroma (hematoxylin-eosin stain; original magnifications: (c) x 400; (d) x 400).
case_images: CRIDM2023-9001287.002.jpg
case_images: PMC9925237_01_CRIDM2023-9001287.002.jpg
case_images: fig2
case_images: High-power views demonstrated scattered nuclear dust and fibrin within the walls of the small blood vessels with extravasation of red blood cells in the surrounding stroma (Figure 2).
case_images: Rash at one week follow-up.
case_images: CRIDM2023-9001287.003.jpg
case_images: PMC9925237_01_CRIDM2023-9001287.003.jpg
case_images: fig3
case_images: The patient followed up one week later with a more typical appearing rash for LCV (Figure 3).