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A 36-year-old man, a defence personnel by profession serving in high altitude area having history of an episode of pulmonary embolism 1 month back with no other comorbidity, was taking rivaroxaban 20 mg/day as prescribed by the physician, presented with mild itchy hyperpigmented to erythematous plaques over bilateral dorsum of feet in a sandle-like pattern (figures 1 and 2). Few of the plaques had brown-coloured crusts. All routine investigations were within …
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