Case presentation A 54-year-old male patient was rushed into the emergency room with hemorrhagic shock from gastrointestinal tract bleeding. Medical history The patient had a medical history of: Ischemic cardiomyopathy Atrial fibrillation Diverticulitis status post-hemicolectomy Hypertension Stage 4 chronic kidney disease Type 2 diabetes mellitus Radiographic investigations CT of the abdomen and pelvis and aortogram with intravenous contrast was performed.
Dermatological presentation Three days after the radiographic investigations, the patient developed multiple, flesh-colored to translucent dome-shaped papules with central umbilication and hemorrhagic crust on the face, upper chest, the proximal portion of the upper limbs, and dorsal aspects of the hands (Cover image, A). In the following two days, hemorrhagic bullae developed on the dorsal aspects of the hands (Cover image, B) and…
