case_images: PMC6477468_01
case_images: a-c Hemorrhagic bullae and palpable purpura on both the lower extremities and the sole of the foot. d Necrotic lesions on the hands.
case_images: cde-0011-0028-g01.jpg
case_images: PMC6477468_01_cde-0011-0028-g01.jpg
case_images: F1
case_images: Additionally, numerous hemorrhagic bullae, palpable purpura, and necrotic maculae on the face and upper and lower limbs were found, as well as oral ulcers (Fig. 1).
case_images: Necrotizing vasculitis with massive eosinophilic infiltration and a granulomatous reaction.
case_images: cde-0011-0028-g02.jpg
case_images: PMC6477468_01_cde-0011-0028-g02.jpg
case_images: F2
case_images: Further, a skin biopsy demonstrated perivascular eosinophilic infiltrate and necrotizing vasculitis, as well as a granulomatous reaction (Fig. 2).
case_images: a-c Remission of the clinical manifestations after 7 weeks of treatment.
case_images: cde-0011-0028-g03.jpg
case_images: PMC6477468_01_cde-0011-0028-g03.jpg
case_images: F3
case_images: Seven weeks later, the patient showed up in our clinic with complete clinical and laboratory remission (Fig. 3).