Volume 4, Issue 5, Pages (June 2018)

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Cutaneous polyarteritis nodosa presenting as a solitary blue toe

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Volume 4, Issue 5, Pages 477-479 (June 2018) Paraneoplastic cutaneous small-vessel vasculitis as a presentation of recurrent metastatic breast cancer Ashar Dhana, MBBCh, MPH, Eugene Hirschfeld, MD, Sindy Tu, MBChB, Mzudumile Reginald Ngwanya, MBChB JAAD Case Reports Volume 4, Issue 5, Pages 477-479 (June 2018) DOI: 10.1016/j.jdcr.2017.11.021 Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 The upper arm displays palpable purpura with associated necrosis, well-delineated ulcers, and bullae. JAAD Case Reports 2018 4, 477-479DOI: (10.1016/j.jdcr.2017.11.021) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Histopathology. A low-power view of the skin punch biopsy shows epidermal necrosis (black arrow), blister formation (red arrow), and leukocytoclastic vasculitis (blue arrow) involving the dermal blood vessels. (Hematoxylin-eosin stain; original magnification: x2.) JAAD Case Reports 2018 4, 477-479DOI: (10.1016/j.jdcr.2017.11.021) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Histopathology. A medium-power view of the dermal blood vessels with marked neutrophilic perivascular inflammation (black arrows). (Hematoxylin-eosin stain; original magnification: x10.) JAAD Case Reports 2018 4, 477-479DOI: (10.1016/j.jdcr.2017.11.021) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions