Figure 1. Shown here are the bilateral lower extremities of a 57-year-old African American woman. Notice the hemiatrophy of the left extremity.
Figure 2. Close-up view of the ulcerated lesions of the left foot pictured here.
Figure 3. The histopathology demonstrates dermal sclerosis with appendageal atrophy and subadjacent pannicular fibrosis with a deep dermal perivascular lymphocytic infiltrate with plasma cells.