PMC9526174_01
Erythematous, dusky, targetoid-appearing papules on the posterior scalp and back.
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Skin examination was pertinent for: erythematous, dusky, targetoid-appearing papules scattered on the posterior scalp and back (Fig. 1), glabella, and abdomen; violaceous to red-brown ecchymoses of left upper eyelid and bilateral antecubital fossa (Fig. 2); scattered violaceous papules, some with overlying hemorrhagic crust and scale, and few with overlying vesicles and bullae on the bilateral legs; pinpoint violaceous non-blanching macules on the feet (Fig. 3).
Pinpoint violaceous non-blanching macules on the feet; scattered violaceous papules, some with overlying hemorrhagic crust and scale, and few with overlying vesicles and bullae on the bilateral legs.
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Skin examination was pertinent for: erythematous, dusky, targetoid-appearing papules scattered on the posterior scalp and back (Fig. 1), glabella, and abdomen; violaceous to red-brown ecchymoses of left upper eyelid and bilateral antecubital fossa (Fig. 2); scattered violaceous papules, some with overlying hemorrhagic crust and scale, and few with overlying vesicles and bullae on the bilateral legs; pinpoint violaceous non-blanching macules on the feet (Fig. 3).
Chest x-ray. Subtle opacities in the right middle lobe.
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C3 and C4 levels were normal. Chest x-ray (CXR) (Fig. 4) and computed tomographic (CT) scan of the chest demonstrated opacities and ground glass nodules in the right lower lobe. CT scan of orbit showed skin thickening and soft tissue edema of the left periorbital region.