case_images: PMC10328180_01
case_images: (a, b) Multiple, erythematous, non-blanchable macules to plaques along with
  petechiae and purpura present over bilateral extremities; more over shin,
  ankles, and dorsum of feet.
case_images: 10.1177_2050313X231184179-fig1.jpg
case_images: PMC10328180_01_10.1177_2050313X231184179-fig1.jpg
case_images: fig1-2050313X231184179
case_images: General physical examination showed multiple, erythematous, non-blanchable macules to plaques along with petechiae and purpura present over bilateral extremities; more over shin, ankles, and dorsum of feet. (Figure 1) There was swelling, tenderness over the joints, and range of motion was painfully restricted.
case_images: PMC10328180_02
case_images: PMC10328180_03
case_images: Histopathological examination showed numerous viral cytopathic effects in
  mesenchymal cells consisting of large cells with nuclear and cytoplasmic
  inclusion that was consistent with CMV infection.
case_images: 10.1177_2050313X231184179-fig3.jpg
case_images: PMC10328180_03_10.1177_2050313X231184179-fig3.jpg
case_images: fig3-2050313X231184179
case_images: Histopathological examination of colonoscopy-guided biopsied tissue from ulcer bed showed numerous viral cytopathic effects in mesenchymal cells consisting of large cells with nuclear and cytoplasmic inclusion that was consistent with CMV infection. (Figure 3) Until now, we had suspected HSP-related ulcer; but this was a surprise; retrospectively reviewing patient was not immunocompromised as such; but during covid and HSP, he might have got CMV.
case_images: PMC10328180_04