TY  - JOUR
T1  - LOwer extremity purpura
AU  - Chang HJ
Y1  - 2011/05/11
N1  - 10.1001/jama.2011.567
JO  - JAMA
SP  - 1911
EP  - 1912
VL  - 305
IS  - 18
N2  - 
A 50-year-old woman comes to your office for evaluation of a vasculitic-appearing cutaneous eruption of unknown duration on the lower extremities. Her medical history includes heavy smoking with subsequent chronic obstructive pulmonary disease (COPD). Findings from a general physical examination show her to be a cachectic woman who appears older than her stated age. Cutaneous examination reveals a perifollicular, hyperkeratotic purpuric eruption on her lower extremities (Figure 1). Pertinent laboratory values showed megaloblastic anemia, low serum folate levels, and a mild elevation of liver function test results.1

SN  - 0098-7484
M3  - doi: 10.1001/jama.2011.567
UR  - http://dx.doi.org/10.1001/jama.2011.567
ER  -