PMC9157452_01
Peripheral gangrene and purpura fulminans lesions of nose, fingers, hands, arms, legs, feet, and genitalia.
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Hospital course was complicated by progression of hemorrhagic bullae, purpuric rash, and ischemic necrosis from the lower extremities to involve the upper extremities, nose, sacrum, and genitals, consistent with purpura fulminans (Fig. 1).