Unilateral palpable purpura. A manifestation of septic emboli from an infected aortofemoral bypass graft eroding the jejunum.


A 48-year-old man had a palpable purpuric eruption of the right lower extremity several years after a right aortofemoral bypass graft for obstructive atherosclerotic disease. Histologic examination revealed a leukocytoclastic angitis, and belated tissue Gram's stains disclosed clumps of Gram-negative organisms. The focus for the unilateral purpura proved to… (More)


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