Occasionally, chronic leukocytoclastic vasculitis occurs in children who are infected with HIV. It is not certain whether this is the direct result of this virus or of some other, concurrent infection. The palpable purpura seen here on the lower extremities are indistinguishable from those observed in Henoch-Schönlein purpura. The chronicity of this patient's eruption, however, was atypical and pointed to the possibility of HIV-related disease.