A 30-year-old woman presented with widespread, erythematous, purpuric macules and papules on the abdomen and extremities. The eruption had been present for approximately 8 months and consisted of asymptomatic, self-resolving, and continuously appearing macules and papules. Her medical history was significant for chronic hepatitis B infection, for which tenofovir was initiated 4 months ago. Review of systems was positive only for occasional arthralgias in her knees and ankles. She was not taking any other medications.
Cohen JM, Femia AN, Ho RS. A Woman With Purple Macules on the Legs. JAMA. 2017;318(6):569–570. doi:10.1001/jama.2017.9227
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