retiform purpura

Eosinophilia – Pop Quiz 8/5
by Matthew Willett, MD, FAAD on
A 55-year-old male with a medical history significant for type-2 diabetes mellitus, hypertension, and 25 pack/year smoking history undergoes percutaneous coronary intervention for an acute coronary event. He is admitted to the ICU where his exam is significant for the findings seen in the image. Lab evaluation reveals eosinophilia and acute kidney injury. What is the most likely diagnosis? …
Calciphylaxis – Friday Pop Quiz 5/21
A 65-year-old female patient presents with poorly demarcated, symmetric, very painful patches of erythema and retiform purpura, favoring the thighs and buttocks. Bullae and a dusky gray discoloration developed, as well as the appearance of ulcerations with black, leathery eschars. A skin biopsy of the affected area is suggestive of calciphylaxis. Shortly after, she dies from secondary infectio …