case_images: PMC5485271_01
case_images: On physical exam, the patient was found to have a patchy, raised, nonulcerative healing rash with hypopigmentation on bilateral arms and forearms and anterior and lateral thighs, a patch of hyperpigmented rash on chest, and a diffuse rash over abdomen.
case_images: CRIRH2017-4817275.001.jpg
case_images: PMC5485271_01_CRIRH2017-4817275.001.jpg
case_images: fig1
case_images: On examination, hyperpigmented pruritic frank macules were noted on the extensor surface of his arms, trunk, and upper thighs in multiple phases of healing (Figure 1).
case_images: (a) CT of the abdomen showing thickening of the bowel wall (red arrow). (b) MRI showing edema of the soft tissue (red arrows).
case_images: CRIRH2017-4817275.002.jpg
case_images: PMC5485271_01_CRIRH2017-4817275.002.jpg
case_images: fig2
case_images: Edema found in the bowel wall on CT (Figure 2(a)) prompted a colonoscopy with biopsy but results were nonspecific. MRI revealed intramuscular and subcutaneous edema (Figure 2(b)), but no occult malignancy.