PMC9054466_01
Maculopapular rash in the patient's bilateral upper and lower extremities.
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fig1
On exam, the patient had bilateral pink-to-erythematous, scattered, edematous papules with very few hemorrhagic changes (Figure 1).
Microscopic view of the pathological specimen from skin biopsy: spongiosis with focal intraepidermal vesiculation as well as papillary dermal edema with upper dermal neutrophilic and lymphocytic inflammation with extravasated erythrocytes.
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fig2
These findings, in the context of the clinical picture, were consistent with SS (Figure 2).