case_images: PMC5516656_01
case_images: PMC5516656_02
case_images: Multipl purpura on the lower extremity
case_images: PAMJ-27-29-g001.jpg
case_images: PMC5516656_02_PAMJ-27-29-g001.jpg
case_images: f0001
case_images: Multiple purpuric rashes were on his extremities, abdomen and buttock Figure 1.
case_images: Vascular damage characterized by endothelial swelling and necrosis, fibrinoid change in vessel walls (HEX200)
case_images: PAMJ-27-29-g002.jpg
case_images: PMC5516656_02_PAMJ-27-29-g002.jpg
case_images: f0002
case_images: 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.