Leukocytoclastic vasculitis, presenting with palpable purpura, is a relativ
ely common problem encountered by both primary care practitioners and derma
tologists. A variety of potential etiologies exists and includes autoimmune
, neoplastic, and infectious causes. We report a case of leukocytoclastic v
asculitis that led to the diagnosis of acute hepatitis B, perhaps acquired
through colonoscopy.