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Letter To The Editor

Palpable maculopapular rash with elevated ESR: What is your diagnosis?

, &
Pages 285-286 | Received 04 Apr 2013, Accepted 19 Jul 2013, Published online: 27 Aug 2013

Figures & data

Figure 1. Palpable purpuric rash on the left lower extremity (A and B) and back (C and D) following antibiotic therapy.

Figure 1. Palpable purpuric rash on the left lower extremity (A and B) and back (C and D) following antibiotic therapy.

Figure 2. Demonstration of non-blanchability of the purpuric lesions (A and B). Histopathology of skin lesions from the purpuric lesions (C). The epidermis demonstrates no inflammatory changes. Within the papillary dermis there is a mild inflammatory infiltrate associated with extravasated red blood cells (× 100, H&E). The inflammatory infiltrate is composed predominately of lymphocytes with rare eosinophils (D). There are scattered extravasated red blood cells. No neutrophils are present. The vessels show no fibrinoid necrosis or fibrin thrombi (× 200, H&E).

Figure 2. Demonstration of non-blanchability of the purpuric lesions (A and B). Histopathology of skin lesions from the purpuric lesions (C). The epidermis demonstrates no inflammatory changes. Within the papillary dermis there is a mild inflammatory infiltrate associated with extravasated red blood cells (× 100, H&E). The inflammatory infiltrate is composed predominately of lymphocytes with rare eosinophils (D). There are scattered extravasated red blood cells. No neutrophils are present. The vessels show no fibrinoid necrosis or fibrin thrombi (× 200, H&E).