A 48-year-old married male, tobacco user presented with darkening of skin of the right leg and appearance of red colored spots on his abdomen since last 1 week. There was no history of fever, joint pains and bluish discoloration of fingers or bleeding from any site. He was diagnosed as a case of tuberculosis of the ankle joint 3 weeks before presenting to us and started taking anti-tubercular therapy since then. Examination of the right leg showed blackening of skin overlying anterior aspect of the tibia and foot [Figure 1]. There were hyperkeratotic purpuric eruptions on the left leg [Figure 2] and red macular lesions of varying size over the lower part of abdomen [Figure 3]. There was mild tenderness over the right leg and dorsalis pedis artery was palpable in both limbs. Systemic examination was normal. A provisional diagnosis of cellulitis with vasculitis was made and skin biopsy was planned. His other significant investigations were the thin-layer chromatography-11,600/cu mm, erythrocyte sedimentation rate 29 mm/1st h, perinuclear anti cytoplasmic antibody pANCA and anti-saccharomyces cerevisiae antibodies negative, rheumatoid factor: <8 IU/mL. Patient was started with amoxicillin and clavulanic acid along with anti-inflammatory drugs. However, his condition did not change. Skin biopsy reported negative for any changes of vasculitis. Suspecting it as the case of drug reaction we stopped anti-tubercular drugs isoniazid, rifampicin, pyrazinamide and ethambutol, which the patient was taking in a fixed dose regime. After 2 days, the eruptions over abdomen disappeared. The skin changes over legs did not progress any further.