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Takahiro Hamada, MD; Yoshihiko Inoue, MD; Takekuni Nakama, MD; Takashi Hashimoto, MD

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Report of a Case

A 61-year-old Japanese woman was referred to us with a 6-month history of gradually spreading, asymptomatic, irregularly shaped, red-brown purpuric papules and plaques with tiny petechiae on her left lower abdomen, back, and femoral regions (Figure 1). The lesions had a zosteriform distribution of L1/L2. She had no history of a bleeding disorder, and the medical and family histories were unremarkable.

Figure appears in full text version. Figure 1. Red-brown purpuric papules and plaques with tiny petechiae on the left lower abdomen and femoral regions. Lesions had a zosteriform distribution of L1/L2.

Histopathologic examination revealed a perivascular and interstitial lymphocytic infiltrate with extravasation of erythrocytes and mild liquefactive degeneration of the basal layer (Figure 2). There was no evidence of vasculitis. Results of laboratory investigations were within normal range, including those of complete blood cell count, biochemical examinations, prothrombin time, . . . [Full Text of this Article]

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