Pulmonary Hemorrhage Secondary to Disseminated Strongyloidiasis in a Patient with Systemic Lupus Erythematosus

Figure 1

Purpuric dermatosis and skin biopsy. Punctiform periumbilical purpuric macules (a). 24 hours later, dermatosis worsened and was confluent with persistence of periumbilical involvement (“Thumb print sign”) (b). Filariform larvae were observed in the dermis (c).

(a)

(b)

(c)