Levamisole-Induced Necrosis and Vasculitis.

A 56 year-old Caucasian man with a past medical history (PMH) of cytopenia and a positive antinuclear antibody (ANA) presented to the dermatology office due to painful discoloration of the ears (Figure 1) and a "rash" on the upper portion of his right arm (Figure 2) which had initially subsided but later worsened. Punch biopsies of the right ear and right arm lesions were performed at the initial visit. (SKINmed. 2021;19:-0).