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A 32-year-old pregnant woman (G5P0L0A4) presented at 10+ weeks of gestation with multiple itchy plaques of 3 weeks duration. She was a known case of antiphospholipid antibody syndrome and was on treatment with low molecular weight heparin (LMWH, enoxaparin) and aspirin since past 4 weeks. On examination, multiple erythematous, indurated plaques were present on the abdomen (figure 1A) and both upper thighs. The lesions were restricted to the sites of subcutaneous enoxaparin injections. Histopathology of the …
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