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August 3, 2022

Cutaneous Herpetiform Ulcerations as the Presenting Sign of an Acute Aortic Occlusion

Author Affiliations
  • 1Department of Dermatology, Medical College of Wisconsin, Milwaukee
JAMA Dermatol. 2022;158(10):1216-1218. doi:10.1001/jamadermatol.2022.2527

Acute aortic occlusion (AAO) is a rare syndrome associated with substantial morbidity and mortality. To our knowledge, perineal ulcers have rarely been reported in association with AAO secondary to microembolism of the underlying thrombus.

A woman in her 40s presented to the emergency department with a 2-week history of abrupt painful ulcerations of the perineum. Additionally, she complained of bilateral lower extremity weakness. She had a history of untreated hypertension and 7–pack year history of smoking.

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