A Life Threatening Rash, an Unexpected Cause

Figure 1

(a) Blotchy purpuric rash over both lower limbs mainly in the extremities, with some healed areas 48 hours after doxycycline therapy. (b) Closer view of left foot showing involvement of all toes and dorsum of foot, with some healed lesions showing hypopigmentation.

(a)

(b)