A dusky red papule A woman noted a sudden darkening of a longstanding lesion on her shoulder. What is this lesion? Case presentation A 23-year-old woman noted an abrupt darkening of a longstanding lesion on her behalf right anterior shoulder . Dermoscopy exposed a series of crimson to blue-dark globules separated by a lace-like white veil that outlined the advantage of the globules . Epidermis biopsy demonstrated a cluster of dilated, thin-walled vascular stations filled up with red cells instantly under the epidermis .Profound thrombocytopenia created in 10 patients in the abciximab group and in none of the patients in the bivalirudin group . Figure 2Figure 2Thirty-Day Incidence and Relative Threat of the Primary End Stage in Prespecified Subgroups. Shows the frequency with that your criteria for the primary end point were fulfilled in prespecified subgroups. In no subgroup was there a suggestion of a beneficial effect of abciximab. Discussion In this double-blind, randomized research, abciximab plus unfractionated heparin, as compared with bivalirudin, was not associated with a reduction in the risk of death, large recurrent myocardial infarction, urgent target-vessel revascularization, or major bleeding at thirty days.