A 32-year-old male with a history of B. cenocepacia and Burkholderia multivorans developed an erythematous rash on the lower legs associated with an infective exacerbation of his chest. The rash resolved leaving grey discolouration but would occasionally flare up in the summer months. The biopsy showed features of capillaritis, and he was managed with topical steroids and compression hosiery.
A 23-year-old female with B. cenocepacia developed an erythematous maculopapular rash on the lower legs with associated arthropathy of her finger joints. This was clinically felt to be reactive leucocytoclastic vaculitis and a biopsy was not conducted. The vasculitis did not respond initially to oral prednisolone, and she was then commenced on azathioprine and the rash responded to this. Two years later, she died following a severe infective exacerbation of her chest.