Abstract

We reported the case of a 66-year-old male patient with active pulmonary tuberculosis. He suffered from low-grad fever and palpable confluent purpaura on the lower limbs and abdomen at 4 months after anti-tuberculous chemotherapy. Thrombocytopenia and eosinophilia were also noted. Leukocytoclastic vasculitis was diagnosed by skin biopsy, which revealed a granular deposition of IgM and C3 at the vascular wall in the superficial dermis, using direct immunofluorescence staining. His skin lesions and fever subsided quickly and the eosinophil and platelet counts returned to normal ranges after rifampicin and corticosteroid treatments were stopped.

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