case_images: PMC9968465_01
case_images: Palpable purpuric lesions appreciated on the patient's lower extremities.
case_images: cureus-0015-00000034270-i01.jpg
case_images: PMC9968465_01_cureus-0015-00000034270-i01.jpg
case_images: FIG1
case_images: Eight days later, the patient noted scattered pruritic and painful petechiae on his lower extremities (Figure 1).
case_images: A closer image of painful and pruritic plaques.
case_images: cureus-0015-00000034270-i02.jpg
case_images: PMC9968465_01_cureus-0015-00000034270-i02.jpg
case_images: FIG2
case_images: These petechiae erupted over 48 hours into palpable purpuric papules and plaques involving the legs and to a lesser degree the buttocks, abdomen, and forearms (appreciable in Figure 2), prompting the patient to return to our facility for admission.