case_images: PMC5474248_01
case_images: Peripheral blood smear with pancytopenia and teardrop red blood cells (Wright 400x).
case_images: CRIHEM2017-9091612.001.jpg
case_images: PMC5474248_01_CRIHEM2017-9091612.001.jpg
case_images: fig1
case_images: Peripheral blood smear noted teardrop red blood cells and circulating nucleated red cells (Figure 1).
case_images: Epidermal atrophy with prominent basement membrane (H&E 100x). Dermal edema with blue mucin and mild perivascular mononuclear infiltrate (mainly lymphocytes).
case_images: CRIHEM2017-9091612.002.jpg
case_images: PMC5474248_01_CRIHEM2017-9091612.002.jpg
case_images: fig2
case_images: Pathology at the site of violaceous rash on forehead was consistent with dermatomyositis (Figures 2-4).
case_images: Vacuolar change due to basal cell degeneration (H&E 200x). Civatte bodies at the papillary dermis. Prominent perivascular lymphocytes at left lower corner.
case_images: CRIHEM2017-9091612.003.jpg
case_images: PMC5474248_01_CRIHEM2017-9091612.003.jpg
case_images: fig3
case_images: Pathology at the site of violaceous rash on forehead was consistent with dermatomyositis (Figures 2-4).
case_images: Melanin incontinence into dermis (yellow arrow) (H&E 400x).
case_images: CRIHEM2017-9091612.004.jpg
case_images: PMC5474248_01_CRIHEM2017-9091612.004.jpg
case_images: fig4
case_images: Pathology at the site of violaceous rash on forehead was consistent with dermatomyositis (Figures 2-4).
case_images: The bone is normocellular with megakaryocytic hyperplasia and moderate fibrosis (bone marrow, left posterior iliac crest, clot section, and trephine core biopsies, 100x).
case_images: CRIHEM2017-9091612.005.jpg
case_images: PMC5474248_01_CRIHEM2017-9091612.005.jpg
case_images: fig5
case_images: Pathologist review reported normocellular marrow with megakaryocyte hyperplasia, mild decrease in erythroid precursors, and moderate fibrosis (Figures 5-6).
case_images: Marrow reticulin fibers moderately increased with storage iron present (bone marrow biopsy, left posterior iliac crest, and reticulin stain, 400x).
case_images: CRIHEM2017-9091612.006.jpg
case_images: PMC5474248_01_CRIHEM2017-9091612.006.jpg
case_images: fig6
case_images: Pathologist review reported normocellular marrow with megakaryocyte hyperplasia, mild decrease in erythroid precursors, and moderate fibrosis (Figures 5-6).