AbstractLeucocytoclastic vasculitis (LCV) is a histopathologic term referring to small vessel vasculitis characterized by the infiltration of neutrophils and immune complex deposition. Clinically, LCV presents with palpable purpura, often involving the lower extremities, and may be associated with systemic involvement. We hereby report a rare case of LCV in a 56 year female, highlighting clinical presentation and management strategies for the subset of LCV that remains confined to the skin without systemic manifestations posing diagnostic challenges.