PMC5516656_01
PMC5516656_02
Multipl purpura on the lower extremity
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Multiple purpuric rashes were on his extremities, abdomen and buttock Figure 1.
Vascular damage characterized by endothelial swelling and necrosis, fibrinoid change in vessel walls (HEX200)
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Ig G: 3+, Anti-VCA p19 Ig M: 2+, Anti EBNA-1 Ig M: negative, Anti EBNA-1 Ig M: negative, Anti EBNA-1 Ig G: negative. In light of this findings, the patient was interpreted as the primary active acute EBV infection. In addition a skin biopsy from left malleol showed leucocytoclastic vasculitis Figure 2.