PMC6855045_01
(a) Forearm cutaneous lesions. (b) Hand lesions extension. (c) Plantar cutaneous lesions. (d) Palmar cutaneous lesions.
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fig1
In clinical examination on admission, cutaneous findings included sore infiltrated purplish papulonodular lesions on both the forearms (Figure 1(a)), with a rapid extension on the two hands (Figure 1(b)). Papillomatous, palmoplantar skin lesions, as well as important lymphedema of the extremities were also observed (Figures 1(c) and 1(d)).
Skin biopsy results.
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fig2
Cutaneous biopsy revealed proliferation of fusiform and vascular cells with extravasation of blood associated with occasional siderophages (Figure 2).