1. Advancing into the Community
Darlene LeFrancois, MD, Sharon Leung, MD 
The American Journal of Medicine 
Volume 125, Issue 7, Pages (July 2012)
DOI: /j.amjmed
Copyright © 2012 Elsevier Inc. Terms and Conditions

2. Figure 1
On day 2 of hospitalization, a coronal view of abdominal computed tomography demonstrated marked pancolitis (white arrows).
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2012 Elsevier Inc. Terms and Conditions

3. Figure 2
The patient was seriously ill. A, Purpura fulminans was evident on her right leg. B, The left leg also was affected. C, She had necrosis of the nose and lips. D-F, Her left middle finger, right toes, and left foot were gangrenous.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2012 Elsevier Inc. Terms and Conditions

4. Figure 3
Dermatopathology included thrombotic vasculopathy with tissue ischemia and necrosis. A, Subepidermal clefting indicates vascular congestion (hematoxylin and eosin [H&E], 4x). B, Subepidermal clefting indicative of vascular congestion is shown under higher magnification (H&E, 10x). C, Purpura (black arrow) appears as red blood cells that have been extravasated from small vessels in dermis (H&E, 40x). D-E, Fibrin thrombi are seen in small superficial dermal vessels (H&E and phosphotungstic acid-hematoxylin—PTAH—staining, respectively), 40x. F, Tissue ischemia and necrotic eccrine units are present in the sample (H&E, 40x).
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2012 Elsevier Inc. Terms and Conditions