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Man Lands in ER with Palpable Purpura - Can You Diagnose?

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A 43-year-old man went to the emergency room with a symmetrical rash of palpable purpura on his legs. He also complained of a fever and arthralgia, but denied any headache or neck pain. The patient disclosed a current infection with hepatitis C virus.

Is it Rocky Mountain spotted fever. leukocytoclastic vasculitis, Sjogren syndrome, or acute meningococcemia?

Check out our differential in VisualDx.

The correct diagnosis is...

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