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A 49-year-old man presented to the Emergency Department with blue skin discoloration
for 5 days duration. He stated that the discoloration started after completing a 5-day
course of clindamycin. The symptoms began on his hands and then progressed to his
trunk and extremities (Figure 1). He was able to wipe or rinse off the color, but it quickly re-accumulated (Figure 2).
Figure 1Arrows indicating blue skin discoloration of the extremities.
