A girl in her early childhood presented with fever for 10 days with erythematous non-blanching maculopapular rash involving the trunk and lower limbs, bluish-blackish discolouration of the nose (figure 1), and bluish discolouration of toes; she was referred to us with a possibility of vasculitis. The child also had left eye congenital phthisis bulbi. Laboratory investigations revealed anaemia (haemoglobin 73 g/L), total leucocyte count of 9.8 × 109/L and platelet count of …