case_images: PMC6855045_01
case_images: (a) Forearm cutaneous lesions. (b) Hand lesions extension. (c) Plantar cutaneous lesions. (d) Palmar cutaneous lesions.
case_images: CRIPU2019-5453031.001.jpg
case_images: PMC6855045_01_CRIPU2019-5453031.001.jpg
case_images: fig1
case_images: In clinical examination on admission, cutaneous findings included sore infiltrated purplish papulonodular lesions on both the forearms (Figure 1(a)), with a rapid extension on the two hands (Figure 1(b)). Papillomatous, palmoplantar skin lesions, as well as important lymphedema of the extremities were also observed (Figures 1(c) and 1(d)).
case_images: Skin biopsy results.
case_images: CRIPU2019-5453031.002.jpg
case_images: PMC6855045_01_CRIPU2019-5453031.002.jpg
case_images: fig2
case_images: Cutaneous biopsy revealed proliferation of fusiform and vascular cells with extravasation of blood associated with occasional siderophages (Figure 2).