History:

A middle-aged healthy woman all of a sudden developed an asymptomatic, bilateral, symmetrical purpuric eruption on the cheeks and the extensor surface of the forearms and legs of one week duration. The rash didn't associate with any systemic symptoms. She had no hematological, connective tissue or other systemic disease. Investigations concerning increased bleeding tendency and connective tissue disorders were normal. However, one day before the onset of the rash she had taken a NSAID (?) for neck ache. Whether this case was due to drug induced purpura or caused by an acute leukocytoclastic vasculitis is a matter of debate specially the patient had refused skin biopsy.