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She had numerous large stellate lesions of retiform purpura with central hemorrhagic necrosis on both legs, with surrounding induration (numbers 1 and 2). These purpuric plaques and perilesional epidermis had been exquisitely painful to palpation.A 37-year-old man presented with firm, skin-colored papules and nodules on his as well as chest, which had been showing up during the past 7 years (Figure 1a). The in-patient denied any associated pruritus, discomfort, or ulcerations. Further history unveiled h
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