(en) A 21-year-old woman presented with a 1-week history of menorrhagia, diffuse persistent abdominal and leg pain, fever, and rapidly evolving necrotic skin lesions of the face. Her medical history included antiphospholipid antibody syndrome for which she had been under chronic treatment based on rivaroxaban and a progestogen-only contraceptive pill until she had chosen to interrupt both treatments (respectively 2 weeks and 2 months earlier) in order to get pregnant. On examination, she had retiform infiltrated necrotic maculopapular lesions of the ears, the cheeks and the right shoulder associated with livedo racemosa of the legs, arms and palms. [...]
Mengeot, L., Marot, L., & Baeck, M. (2022). Rapidly evolving necrotic skin lesions of the face. JAAD case reports, 28, 149-151. https://doi.org/10.1016/j.jdcr.2022.01.043 (Original work published 2022)