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A previously healthy, 38-year-old man presented with non-pruritic rash over his legs and trunk noticed 2hours back. Examination revealed non-palpable purpura over the limbs and trunk. There was multiple 'wet purpura' over the buccal mucosa, palate and tongue ( figure 1A ). He had mild pallor and direct ophthalmoscopy showed bilateral fundal haemorrhage with sparing of macula. There was no organomegaly or palpable lymphadenopathy. His investigation showed haemoglobin 125g/L, white blood cell 8.7×109/L, platelet 7×109/L and normal peripheral smear. He was treated with intravenous methylprednisolone (1g once a day x3 days) and received one single donor platelet (SDP) transfusion. His bone marrow aspirates showed increased...