case_images: PMC5676965_01
case_images: Images showing purpuric, ecchymotic, and necrotic patches on both ears in our patient. These lesions are pathognomonic as ears are very rarely affected by other types of vasculitides.
case_images: ZJCH_A_1374109_F0001_OC.jpg
case_images: PMC5676965_01_ZJCH_A_1374109_F0001_OC.jpg
case_images: F0001
case_images: On examination, purpuric, ecchymotic, and necrotic patches on both ears were present (Figure 1).
case_images: Images showing multiple wounds, both purpuric and necrotic. Full thickness dermal necrosis with sloughing in the wounds also noted. Some of the lesions almost appear like pyoderma gangrenosum.
case_images: ZJCH_A_1374109_F0002_OC.jpg
case_images: PMC5676965_01_ZJCH_A_1374109_F0002_OC.jpg
case_images: F0002
case_images: Full thickness dermal necrosis with sloughing in the wounds was also noted (Figure 2).  