A 78-year-old man presented with tender, multiple erythematous purpura on the trunk and extremities. He had abdominal pain, diarrhea, arthralgia and edema of both lower legs for 2 months. The patient had a history of chronic obstructive pulmonary disease, hypertension and prostate cancer operation. Laboratory findings showed pancytopenia, elevated blood urea nitrogen and creatinine. Urinalysis showed hematuria and proteinuria. A punch biopsy specimen of left arm revealed leukocytoclastic vasculitis without immunoglobulin and complement deposits. Lymph node biopsy showed small clusters of neoplastic cells around follicles with CD 3, CD 4, CD 10 positivity. Bone marrow aspiration showed increased plasma cells with infiltration of CD 3, CD 5, CD 10-positive atypical lymphocytes. After 1 cycle of cyclophosphamide-hydroxydaunorubicin-oncovin-prednison e (CHOP) chemotherapy, patient died due to acute respiratory distress syndrome. Angioimmunoblastic T cell lymphoma (AITL) accounts for approximately 15-20% of peripheral T-cell lymphomas. The most common cutaneous presentation of AITL consists of macules and papules, while Henoch-Schonlein purpura (HSP) is a rare clinical manifestation. HSP can behave like a paraneoplastic syndrome in malignancy including lymphoma through several mechanisms. Herein, we report a first case of AITL associated with HSP in Korea.