PMC4275458_01
Necrotic lesion of the nose and ecchymotic lesions of the malar eminences.
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F1
Physical exam revealed ecchymotic lesions on the malar eminences (left greater than right) and on the nasal tip, supratip, nasal ala, nasal sill, and columella (Fig. 1).
Solid purpuric patch of the lateral right arm, necrotic lesion of the nose, and retiform purpuric patches of the medial left arm.
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F2
Purpuric and ecchymotic lesions were also noted on the left scapular region, right triceps region (Fig. 2), and bilateral lower extremities.
Purpuric patches of the left ear.
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F3
Over the course of the rest of her hospital stay, the patient developed additional necrotic lesions on the left helix (Fig. 3), right anterior thigh, and left triceps region.