PMC6526593_01
Common rash on entire body
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There were patches and plaques with indeterminate limits that tended to merge and were non-blanchable on a widespread erythematous layer in the physical examination (Fig. 1).
M-mode echocardiography showing systolic dysfunction
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An echocardiogram revealed global hypokinesis, mild mitral regurgitation, and decreased contractility (LV ejection fraction 47%, fractional shortening 23%) consistent with the diagnosis of myocarditis (Fig. 2).
Showed various degrees of basal vacuolization, dyskeratosis, infiltration of the epidermis by lymphocytes, dermal edema, superficial perivascular inflammation
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A skin biopsy was performed, which demonstrated an inflammatory infiltrate that was predominantly perivascular and lymphocytic in nature (Fig. 3).