PMC6636589_01
Rash on the back with bullae, rash on the posterior aspect of legs, and desquamating rash on the back.
CRIDM2019-6830862.001.jpg
PMC6636589_01_CRIDM2019-6830862.001.jpg
fig1
Skin was warm and had desquamating rash on both lower extremities from hip down (Figure 1).
(a) The arrows indicate macrophages engulfing mostly the red blood cells (bean bag cells), (b) this is lobular panniculitis comprised of cellular infiltrate of lymphocytes, macrophages, and plasma cells, (c) septal panniculitis (highlighted), and (d) subepidermal bullous lesion.
CRIDM2019-6830862.002.jpg
PMC6636589_01_CRIDM2019-6830862.002.jpg
fig2
An autopsy was done that revealed CHP (Figure 2), Libman Sacks endocarditis, bilateral pleural effusion, proliferative and membranous lupus glomerular nephropathy, and bilateral adrenal hemorrhage.