PMC7529162_01
Diffuse induration of the left leg studded with violaceous-to-hyperpigmented papules coalescing to form plaques
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F1
Cutaneous examination showed diffuse induration of the left leg, which was studded with violaceous-to-hyperpigmented papules coalescing to form plaques [Figure 1].
Scattered violaceous oval plaques in the left thigh
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F2
Similar hyperpigmented-to-violaceous, discrete, succulent papules and plaques varying in size from 0.2 cm x 0.2 cm to 0.5 cm x 0.5 cm were also seen disseminated over the thighs, trunk, and oral cavity (tongue and hard palate) [Figures 2 and 3].
Hard palate showing bluish-red plaque
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F3
Similar hyperpigmented-to-violaceous, discrete, succulent papules and plaques varying in size from 0.2 cm x 0.2 cm to 0.5 cm x 0.5 cm were also seen disseminated over the thighs, trunk, and oral cavity (tongue and hard palate) [Figures 2 and 3].
Nonpolarized dermoscopy showing bluish-red discoloration
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F4
On dermoscopy, an ill-defined bluish-red discoloration was seen, and there was no pigment network [Figure 4].
Histopathological examination showing multiple slit-like vascular spaces, proliferation of spindle cells, and extravasation of red blood cells (H and E, original magnification x100)
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F5
Histopathology of the skin revealed slit-like proliferation of dermal vessels with dilated lymphatic-like spaces mainly in the superficial dermis with solid cords and fascicles of spindle cells in between the vascular channels [Figure 5].