A 42-Year-Old Male with a New Symmetrical Rash on His Legs

The patient is a 42-year-old man who presents with a symmetrical rash of palpable purpura on his legs. He also complains of a fever and arthralgia, but denies any headache or neck pain. He also discloses current infection with the hepatitis C virus.

View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.