PMC5540464_01
(a) Right dorsal hand with scaly pink plaques. (b) Left palmar surface with punctate firm hemorrhagic papules.
CRIT2017-4823870.001.jpg
PMC5540464_01_CRIT2017-4823870.001.jpg
fig1
In addition, she had punctate firm hemorrhagic papules of the fingertips and palms (Figure 1).
Hematoxylin-eosin-stained biopsy specimens from left 2nd digit. (a) Dense superficial to middermal lymphocytic infiltrate with few scattered eosinophils (40x magnification). (b) Scattered apoptotic keratinocytes within the epidermis and vacuolization at the dermal-epidermal junction (100x magnification).
CRIT2017-4823870.002.jpg
PMC5540464_01_CRIT2017-4823870.002.jpg
fig2
There was a dense superficial to middermal lymphocytic infiltrate, with some scattered eosinophils (Figure 2).