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Adult-onset Still’s disease (AOSD) is a systemic inflammatory condition featuring a high spiking fever, arthralgia, leukocytosis with neutrophilia, and skin rash. The typical skin rash in AOSD is an evanescent, salmon-pink erythema that mainly involves the extremities (1). While various skin symptoms are reported as atypical skin rashes in AOSD (1–3), few reports mention generalized purpura (1, 4).

Generalized Purpura as an Atypical Skin Manifestation of Adult-onset Still’s Disease in a Patient with Behçet’s Disease