PMC5485271_01
On physical exam, the patient was found to have a patchy, raised, nonulcerative healing rash with hypopigmentation on bilateral arms and forearms and anterior and lateral thighs, a patch of hyperpigmented rash on chest, and a diffuse rash over abdomen.
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On examination, hyperpigmented pruritic frank macules were noted on the extensor surface of his arms, trunk, and upper thighs in multiple phases of healing (Figure 1).
(a) CT of the abdomen showing thickening of the bowel wall (red arrow). (b) MRI showing edema of the soft tissue (red arrows).
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Edema found in the bowel wall on CT (Figure 2(a)) prompted a colonoscopy with biopsy but results were nonspecific. MRI revealed intramuscular and subcutaneous edema (Figure 2(b)), but no occult malignancy.