Abstract
A 36-year-old gentleman presented to our dermatology service with a 1-month history of a burning, purpuric rash affecting both lower limbs. He was otherwise fit and well with no other symptoms. On examination, there was a tender, purpuric, and petechial rash present on both distal lower limbs. A biopsy revealed a leukocytoclastic vasculitis with no IgA deposits on direct immunofluorescence. A serum vasculitic screen was negative. The patient’s symptoms improved with the application of a potent topical corticosteroid.
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