I stumbled upon some of my old hard drives yesterday. This was a photo I took of one of my patients back in my Pediatric residency at St. Vincents in the West Village. This little guy did alright and recovered from the worst case of henoch schonlein purpura I’ve ever seen, but the hospital with that beautiful view died. HSP can be caused by an abnormal immune response to something, maybe a reaction due to a medication, but when it’s this severe, it’s typically treated similarly to a severe burn from a fire.