Case Presentation: A 55-year-old man with gastroesophageal reflux disease and prostate cancer status post radical prostatectomy presented with a 3-year history of non-healing skin ulcerations. He was initially diagnosed with vasculitis and started on immunosuppressive therapy. Skin lesions worsened despite high dose steroids and different immunosuppressive medications (methorexate, mycophenolate, azathioprine, cyclophosphamide). On presentation, skin examination [...]