PMC8166464_01
Palpable purpura with more intensity on the lower extremities.
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fig1
She also developed pruritis 5 months later, which led to palpable purpuric rash of both the legs and arms extended to the palms and soles during 2 weeks (Figure 1).
Perivascular neutrophilic infiltration, impinging vessel walls, RBC extravasation, and nuclear dust with endothelial cell plumping in the dermis (hematoxylin and eosin, 40x and 100x magnification, respectively).
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fig2
All these findings were strongly suggestive of Henoch-Schonlein purpura (IgA vasculitis) (Figures 2(a) and 2(b)).