An 83-year-old woman presented with a 10-month history of multiple violaceous macules on her leg. The lesions were clustered on the lateral side of the left thigh, close to the knee (Figure 1). The lesions were asymptomatic and appeared gradually. The patient did not identify a triggering event or trauma, although she noted that she sleeps on her left side consistently. The patient had no significant medical history and was not using any medications.