1. An Enlarging Ulcer The American Journal of Medicine
Robert Micheletti, MD, Nicole Fett, MD 
The American Journal of Medicine 
Volume 124, Issue 10, Pages (October 2011)
DOI: /j.amjmed
Copyright © 2011 Elsevier Inc. Terms and Conditions

2. Figure 1
Necrotic-appearing dusky grey discoloration surrounded by a violaceous border was seen at the edges of the wound.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2011 Elsevier Inc. Terms and Conditions

3. Figure 2
Within 5 days of beginning high-dose prednisone, progressive ulceration had stopped and the ulcer borders were no longer violaceous and necrotic-appearing.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2011 Elsevier Inc. Terms and Conditions

4. Figure 3
After 8 weeks of treatment, the wound was about two-thirds closed.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2011 Elsevier Inc. Terms and Conditions

5. Figure 4
After 22 weeks of immunosuppressive therapy, the wound had healed.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2011 Elsevier Inc. Terms and Conditions