PMC5676965_01
Images showing purpuric, ecchymotic, and necrotic patches on both ears in our patient. These lesions are pathognomonic as ears are very rarely affected by other types of vasculitides.
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On examination, purpuric, ecchymotic, and necrotic patches on both ears were present (Figure 1).
Images showing multiple wounds, both purpuric and necrotic. Full thickness dermal necrosis with sloughing in the wounds also noted. Some of the lesions almost appear like pyoderma gangrenosum.
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Full thickness dermal necrosis with sloughing in the wounds was also noted (Figure 2).  