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A 44-year-old Caucasian man with a history of alcohol abuse and hepatitis C presented with a pruritic, occasionally painful rash of several months’ duration. Atrophic, purplish plaques ranging in size from 0.5 to 5 cm were visible on the face, anterior and posterior trunk, and dorsum of both hands. The plaques had initially manifested as tense vesicles and bullae, but they had erupted and scarred over prior to presentation. Symptoms had improved drastically with the patient’s recent cessation of alcohol consumption. The patient also noted that the rash was worse with prolonged sun exposure. Serum antinuclear antibody and rheumatoid factor titers were negative.
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