A 27-year-old postpartum woman presented with pruritic pink macules and papules distributed on the bilateral legs, forearms, shoulders, and abdomen. Two weeks ago, she was diagnosed with a hospital-acquired pulmonary embolus following preterm delivery of her twin pregnancy. For this, enoxaparin (50 mg) was started and administered daily. After ten days of therapy, she first noticed the pruritic lesions.
A review of systems was negative for fevers, chills, sores on the mucous membranes, and abdominal pain. Laboratory investigations Heparin/platelet factor - 4 antibodies were negative Complete blood count (CBC) - WBC = 3.9 × 103/uL; RBC = 3.74 × 106/uL; Hemoglobin = 11.2 g/dL; platelet count = 246 × 103/uL Based on clinical examination and laboratory workup, she was diagnosed with nonspecific inflammatory papular dermatitis and started on triamcinolone ointment. Three days later, the…
