PMC5074789_01
Patient's knee lesions after being curated by the enterostomal team.
oarrr-5-077Fig1.jpg
PMC5074789_01_oarrr-5-077Fig1.jpg
f1-oarrr-5-077
The physical exam showed bilateral purpuric macules in the ear helix; eroded plaques and elevated borders over the left foot; a 0.4 mm lesion at the finger dorsum; as well as vascular lesions in the knee and forearm (Figures 1 and 2).
Patient's vascular lesions in the forearm after being cured by enterostomal care.
oarrr-5-077Fig2.jpg
PMC5074789_01_oarrr-5-077Fig2.jpg
f2-oarrr-5-077
The physical exam showed bilateral purpuric macules in the ear helix; eroded plaques and elevated borders over the left foot; a 0.4 mm lesion at the finger dorsum; as well as vascular lesions in the knee and forearm (Figures 1 and 2).
Skin biopsy of the patient's ear which shows superficial thrombosis of superficial vascular plexus (green arrow) with perivascular lymphocytic infiltrates and necrotizing vasculitis (blue arrow).
oarrr-5-077Fig3.jpg
PMC5074789_01_oarrr-5-077Fig3.jpg
f3-oarrr-5-077
The punch biopsy of her ear showed superficial thrombosis of superficial vascular plexus with perivascular lymphocytic infiltrates and deeper sections showed epidermal necrosis and necrotizing vasculitis (Figure 3).