4) A 72-year-old woman presented with a 3-month history of a rash on both legs and 6 months of gingival bleeding. The patient’s medical history was notable for esophageal strictures leading to poor oral intake for at least 2 years. Physical examination of the legs showed perifollicular petechiae, follicular hyperkeratosis, and corkscrew hairs in addition to red and blue ecchymoses on both ankles (Panels A and B). Examination of the oral mucosa showed gingival bleeding (Panel C). What is the diagnosis?
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