From ta Fund Conf Corre D A 55-year-old man presented with an 8-month history of purpuric lesions on his face and trunk. The physical examination revealed nonblanching, violaceous, monomorphic macules scattered on the periorbital skin (bilaterally) and the lower abdomen (Fig 1). The platelet count, prothrombin time, and the partial thromboplastin time were within normal ranges. He had chronic obstructive pulmonary disease and had been recently admitted to the hospital for progressive breathing difficulties. The patient was subsequently diagnosed with restrictive cardiomyopathy using echocardiography and magnetic resonance imaging. The results of histopathologic examination of the heart can be seen in Fig 2 (A, Hematoxylin and eosin; B, Congo red viewed with polarized light).