A 76 year-old man presents with a florid spreading violaceous rash over most of his body. He noticed it on his feet when he awoke at 7am and it is now 3pm. His observations are unremarkable. Attached herewith is the photograph of his legs (image 1) He has no fever, and the rash is slightly itchy. The previous day he had received intravenous 5FU for Duke’s B stage bowel cancer.
He is taking no other medication. He mentions that he has had a dry cough which he has not told his oncologist about. These are the lesions on his right hand (Image 2) What does the skin manifestation reflect and what could be the diagnosis? Please suggest a plan of treatment as well. *This case is by Docplexus Editorial Team for educative purpose only.
