A 58-year-old white woman presented with a 3-month history of painful lesions on the left inner thigh, left buttock, and left lower quadrant of the abdomen. Her medical history was significant for 50 pack-years of smoking, hypertension, and severe peripheral vascular disease treated with bilateral iliac stents 1 year previously. Physical examination revealed several ill-defined, 1- to 5-cm, tender, violaceous, indurated and reticulated patches on the left thigh, buttock, and left lower quadrant with striae (Figure). A few of the plaques had central, deep, necrotic, 1-cm jagged ulcers with irregular borders. The left femoral, dorsalis pedis, and posterior tibial pulses were absent.
Kirkland CR, Hawayek LH, Mutasim DF. Atherosclerosis-Induced Diffuse Dermal Angiomatosis With Fatal Outcome. Arch Dermatol. 2010;146(6):684-685. doi:10.1001/archdermatol.2010.111