PMC5586909_01
Scaly annular erythematous-violaceous maculopapules.
mpp-0023-0475-g01.jpg
PMC5586909_01_mpp-0023-0475-g01.jpg
F1
Physical examination showed scaly annular erythematous-violaceous maculopapules involving the palms of his hands and soles of his feet (fig. 1).
Lesions show a palpable purpuric macular morphology in the lower limbs.
mpp-0023-0475-g02.jpg
PMC5586909_01_mpp-0023-0475-g02.jpg
F2
On pressure areas, the lesions showed a palpable purpuric macular morphology (fig. 2).
A histological image shows micropustules with a mixed inflammatory infiltrate consisting predominantly of eosinophils with lymphocytes and neutrophils.
mpp-0023-0475-g03.jpg
PMC5586909_01_mpp-0023-0475-g03.jpg
F3
Histopathology revealed eosinophilic exocytosis and infundibular spongiosis with eosinophilic and neutrophilic micropustules (fig. 3).