Ken Shiraishi, MD, PhD, Koji Sayama, MD, PhD JAAD Case Reports

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Atypical case of telangiectatic metastatic breast carcinoma presenting as purpura Ken Shiraishi, MD, PhD, Koji Sayama, MD, PhD JAAD Case Reports Volume 3, Issue 4, Pages 316-318 (July 2017) DOI: 10.1016/j.jdcr.2017.03.010 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A, Large purpuric patch (25 × 10 cm in diameter) on the abdomen. B, Biopsy section taken from the margin of the purpuric patch. JAAD Case Reports 2017 3, 316-318DOI: (10.1016/j.jdcr.2017.03.010) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A, The skin biopsy sample shows numerous dilated vessels in the dermis with thrombi of neoplastic cells and erythrocytes. B, Neoplastic cells show positive results for HER2. (A, Hematoxylin-eosin stain; original magnifications: A, ×40; B ×100.) JAAD Case Reports 2017 3, 316-318DOI: (10.1016/j.jdcr.2017.03.010) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions