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A Woman With Purple Macules on the Legs

20:00 EDT 7 Aug 2017 | JAMA

A 30-year-old woman had widespread, erythematous, purpuric macules and papules on the abdomen and extremities. A skin punch biopsy showed extravasated erythrocytes, a neutrophilic infiltrate, fibrinoid necrosis, and broken-down neutrophils releasing nuclear debris. What would you do next?

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