The photo above is a pretty classic case of vasculitis, with palpable purpura, and these lesions HURT. The patient is a young healthy school teacher and we never found the cause.

This is a leukocytoclastic vasculitis, too. This patient, who has a lot of medical problems including a diabetic foot ulcer, went to an emergency room with this painful rash and they told her it was an allergy. I did a biopsy which confirmed the diagnosis.
The list of things that can trigger vasculitis is LONG, and sometimes you don’t figure it out, but don’t miss this.

Dr. Fife sees patients at the CHI St. Luke's Hospital Wound Clinic in The Woodlands, Texas. For an appointment call (936) 266-2150.

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