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July 2010

Papulonodular Eruption, Proteinuria, and Peripheral Arthritis—Quiz Case

Author Affiliations
 

MARY S.STONEMDSOONBAHRAMIMDCARRIE ANN R.CUSACKMDSENAIT W.DYSONMDMOLLY A.HINSHAWMDVINCENTLIUMD

Arch Dermatol. 2010;146(7):789-794. doi:10.1001/archdermatol.2010.152-a

A 47-year-old white man was seen with a 3-month history of a progressive cutaneous eruption affecting the trunk and limbs. Coinciding with this, he reported arthralgia predominantly affecting the small joints of the hands. He was previously well and was not taking any medication. Physical examination revealed numerous 1- to 2-mm-diameter perifollicular skin-colored papules on the abdomen (Figure 1). Fewer than 10 translucent nodules, measuring up to 8 mm, were seen predominantly on the limbs but also affected the trunk. There was no evidence of a photosensitive eruption.

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