case_images: PMC7529162_01
case_images: Diffuse induration of the left leg studded with violaceous-to-hyperpigmented papules coalescing to form plaques
case_images: IJSTD-41-102-g001.jpg
case_images: PMC7529162_01_IJSTD-41-102-g001.jpg
case_images: F1
case_images: Cutaneous examination showed diffuse induration of the left leg, which was studded with violaceous-to-hyperpigmented papules coalescing to form plaques [Figure 1].
case_images: Scattered violaceous oval plaques in the left thigh
case_images: IJSTD-41-102-g002.jpg
case_images: PMC7529162_01_IJSTD-41-102-g002.jpg
case_images: F2
case_images: Similar hyperpigmented-to-violaceous, discrete, succulent papules and plaques varying in size from 0.2 cm x 0.2 cm to 0.5 cm x 0.5 cm were also seen disseminated over the thighs, trunk, and oral cavity (tongue and hard palate) [Figures 2 and 3].
case_images: Hard palate showing bluish-red plaque
case_images: IJSTD-41-102-g003.jpg
case_images: PMC7529162_01_IJSTD-41-102-g003.jpg
case_images: F3
case_images: Similar hyperpigmented-to-violaceous, discrete, succulent papules and plaques varying in size from 0.2 cm x 0.2 cm to 0.5 cm x 0.5 cm were also seen disseminated over the thighs, trunk, and oral cavity (tongue and hard palate) [Figures 2 and 3].
case_images: Nonpolarized dermoscopy showing bluish-red discoloration
case_images: IJSTD-41-102-g004.jpg
case_images: PMC7529162_01_IJSTD-41-102-g004.jpg
case_images: F4
case_images: On dermoscopy, an ill-defined bluish-red discoloration was seen, and there was no pigment network [Figure 4].
case_images: Histopathological examination showing multiple slit-like vascular spaces, proliferation of spindle cells, and extravasation of red blood cells (H and E, original magnification x100)
case_images: IJSTD-41-102-g005.jpg
case_images: PMC7529162_01_IJSTD-41-102-g005.jpg
case_images: F5
case_images: Histopathology of the skin revealed slit-like proliferation of dermal vessels with dilated lymphatic-like spaces mainly in the superficial dermis with solid cords and fascicles of spindle cells in between the vascular channels [Figure 5].