Abstract

The cutaneous manifestations of COVID-19 have been an emerging and evolving topic of study since the beginning of the pandemic and the first reports emerged out of Italy [1]. With global spread and, to date, more than one hundred million cases, a greater appreciation for the cutaneous manifestations of COVID-19 has emerged with ample reports in the literature of at least six central patterns of skin involvement with COVID-19 [2]. One such pattern is petechial/purpuric eruptions, for which there are many possible etiologic mechanisms. Leukocytoclastic vasculitis secondary to COVID-19 has been reported and accounts for a minority of petechial/purpuric eruptions in the setting of COVID-19. This report documents a case of leukocytoclastic vasculitis with prominent IgA deposition in blood vessel walls within the papillary dermis (IgA vasculitis) following severe COVID-19 and in the absence of other causative factors.