PMC6304699_01
The palpable purpura on bilateral lower limbs.
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PMC6304699_01_10.1177_2324709618820873-fig1.jpg
fig1-2324709618820873
On the 11th day of admission, the patient developed palpable purpura on his both lower limbs (Figure 1).
Skin biopsy showing perivascular neutrophilic infiltrate and fibrinoid
necrosis of vessel wall.
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PMC6304699_01_10.1177_2324709618820873-fig2.jpg
fig2-2324709618820873
Skin biopsy was done, which revealed severe leukocytoclastic necrotizing small cell vasculitis consistent with hypersensitivity vasculitis related to drug therapy (Figure 2).