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Medicine Skin 3c5c144d

What diagnosis is suggested by the finding on the sole of this patient's foot?

A
Chemical burn
B
Pemphigus
C
Thrombotic vasculopathy
D
Radiation dermatitis
High-Yield Explanation
Answer C. Thrombotic vasculopathyThe purpuric skin eruption has a netlike arrangement referred to as retiform. Retiform purpura is an indication of an acute thrombotic vasculopathy. If it is acute and rapidly progressive in a febrile patient, it suggests purpura fulminans.

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