Abstract
Question: A 41-year-old man without a significant previous medical history presented with a 7-day history of moderate upper abdominal pain, nausea, and anorexia. On physical examination, the patient had left upper abdominal quadrant tenderness. Two days after admission, he developed a symmetrical nonpruritic macular rash on both feet, that evolved to palpable purpura and extended to both knees (Figure A).
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