case_images: PMC8552574_01
case_images: Necrotic lesions on the right pretibial region.
case_images: SVDLD-38-22-g001.jpg
case_images: PMC8552574_01_SVDLD-38-22-g001.jpg
case_images: F1
case_images: In the right pretibial region there were confluent lesions in necrotic areas (figure 1).
case_images: Histologic findings: leukocytoclastic vasculitis with perivascular inflammatory infiltrate, endoluminal thrombosis and thickening of the blood vessels wall.
case_images: SVDLD-38-22-g002.jpg
case_images: PMC8552574_01_SVDLD-38-22-g002.jpg
case_images: F2
case_images: There were also endoluminal thrombosis and thickening of the blood vessels wall (figure 2).
case_images: Necrotic hemorrhagic evolution of the lesions of lower limbs.
case_images: SVDLD-38-22-g003.jpg
case_images: PMC8552574_01_SVDLD-38-22-g003.jpg
case_images: F3
case_images: Nevertheless, the patient gradually worsened with necrotic hemorrhagic evolution of the lesions of lower limbs (figure 3) and new onset of erythematous macules on the wrists and forearms.
case_images: Improvement of the skin lesions after a single infusion of IVIg (2 g/kg).
case_images: SVDLD-38-22-g004.jpg
case_images: PMC8552574_01_SVDLD-38-22-g004.jpg
case_images: F4