• Vol. 48 No. 4, 139–141
  • 15 April 2019

Painful Purpuric Ulcers of the Legs: A Tell-Tale Sign of Systemic Disease?

289



289 Views
32 Downloads

Download PDF

A 71-year-old Chinese man presented with acute, painful and progressive purpuric patches with haemorrhagic bullae on the lower limbs. These lesions ulcerated and were very slow to heal with eschar formation (Fig. 1). His past medical history included hypertension. He denied any new medications, contactants or illicit drug use. A skin punch biopsy was taken from the foot lesion (Fig. 2). What is your diagnosis?

This article is available only as a PDF. Please click on “Download PDF” on top to view the full article.