Palpable purpura is the clinical manifestation of leukocytoclastic vasculitis, which can be idiopathic or linked to sepsis, reactions to drugs, connective tissue diseases, cryoglobulinemia, hepatitis C or B infection, or underlying cancers.

It is typically brought on by a precipitating event, such as medication, and is characterized by leukocytoclasia and polymorphonuclear leukocyte infiltration of small blood vessels.

The symptoms of a disseminated gonococcal infection include fever, tenosynovitis, arthralgias, and a few vesiculopustules over the distal ends of the extremities that may have purpura or hemorrhagic necrosis.

The skin eruption begins acrally, grows centripetally, and develops into small, blanchable, erythematous macules that eventually turn into ecchymoses, palpable purpura, and petechiae.

[3] Meningococcemia is an uncommon infectious disease that causes fever, skin rash and lesions, ear and eye issues, and possibly a sudden, shocking state of extreme physical depression that could be fatal if medical attention is not received.