PMID: 30142737Aug 26, 2018Paper

Generalized retiform purpura as a presenting sign of diffuse dermal angiomatosis

Dermatology Online Journal
Tanya Bhattacharya, Jason C Sluzevich

Abstract

A 49-year-old man presented with progressive, painful, ulcerative, retiform purpuric patches on the torso and extremities. Multiple skin biopsies revealed a prominent pan-dermal vascular proliferation but no occlusive vasculopathy or cutaneous vasculitis. Diffuse dermal angiomatosis should be considered in the differential diagnosis of retiform purpura, especially in patients with atherosclerotic disease or underlying hypercoagulable states.

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