PMC3580925_01
Skin lesions of the (a) face, (b) right ear, and (c) left thigh and (d) skin biopsy of the left thigh showing fibrin thrombin occluding the small-sized vessels with the presence of neutrophils and lymphocytes within the vessel wall.
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Dermatological examination revealed multiple confluent purpuric reticular plaques on her thighs, face, and ears with characteristic patterns containing central necrosis and erythematous borders (Figures 1(a), 1(b), and 1(c)). A biopsy specimen of purpuric skin lesions on her left thigh revealed fibrin thrombi in small-sized vessels consistent with vasculitis (Figure 1(d)).