Henoch Schonlein Leg Rash - Palpable Purpura Purpura: Low Platelets or Vasculitis? 45 years old, seen in our ED with lower leg purpura. Palpable purpura over lower legs and buttocks. Tip: To differentiate Thrombocytopenia vs Vasculitis purpura —> close your eyes and touch the lesions! Palpable = vasculitis Buttocks highly suggestive of Henoch-Schonlein purpura (IgA), later confirmed by skin biopsy - Dr. Roberto Cosentini @rob_cosentini and @AntonellaBonur6 #Henoch #Schonlein #Purpura #Legs #Rash #clinical #photo #dermatology #HSP