John Libbey Eurotext

European Journal of Dermatology


Residents’ corner. sQuiz your knowledge: Acute painful purpuric rash Volume 27, issue 1, January-February 2017


  • Figure 1
Unidad de Gestión Clínica Dermatología y Venereología, Hospital Universitario Puerta del Mar, Cádiz, Spain

A 43-year-old woman with a past medical history of pulmonary thromboembolism, for which she received anticoagulation therapy, and obesity presented with a painful purpuric rash on her abdomen that appeared four hours previously. Physical examination revealed a painful and extensive purpuric rash with poorly demarcated borders over her left lower abdomen (figure 1A). A skin biopsy showed dermal vascular thrombosis and red blood cell extravasation (figure 1B). Laboratory tests, including tests for [...]