PMC7423214_01
Multiple painful purpuric macules and patches involving the right palm more than the left palm (Top). Almost complete spontaneous resolution after five months (Bottom).
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Skin examination revealed multiple purpuric macules and patches affecting both palms (Figure 1). Five months after the onset of the eruption, there was almost complete resolution of the rash without the use of clobetasol propionate (Figure 1).
Perivascular neutrophilic infiltrate admixed with lymphocytes and few extravasated red blood cells. Note the nuclear fragmentation and scattered interstitial neutrophils. Magnification X200.
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Biopsy showed perivascular neutrophilic infiltrate with some lymphocytes and few extravasated red blood cells (Figure 2).
PMC7423214_02
Multiple palmar erythematous to violaceous plaques (Top). Almost complete clearance after 3 months (Bottom).
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Examination showed erythematous to violaceous plaques limited to both palms (Figure 3). Three months after continued topical treatment, the palmar lesions completely cleared (Figure 3).
Dermal mixed inflammatory cells infiltrates including histiocytes, lymphocytes, neutrophils and eosinophils. The latter are also seen infiltrating some of small blood vessels. Note endothelial cell swelling and few extravasated RBCs. Magnification X200 (RT) and X400 (LT).
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There was an early sign of fibrosis in papillary dermis (Figures 4 and 5).
The dermis shows Early fibrosis and fibroblasts.
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There was an early sign of fibrosis in papillary dermis (Figures 4 and 5).