[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.204.247.205. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
November 1984

Resident's Page

Author Affiliations

COORDINATOR La Jolla, Calif

Arch Dermatol. 1984;120(11):1508-1511. doi:10.1001/archderm.1984.01650470114026
Abstract

PATHOLOGY QUIZ CASE 1  Edward H. Stolar, MD, the George Washington University Medical Center, Washington, DCA 57-year-old woman had a four-year history of multiple painful plaques and nodules over the joints of her hands, elbows, and knees. She had occasional joint pain but denied weakness or fatigue. She had been treated with topical fluocinonide 0.05% twice daily for eight months without benefit.Physical examination revealed hyperkeratotic, hyperpigmented tender nodules as well as a solitary annular plaque with an erythematous elevated border over the joints of her hands (Fig 1). There were similar nodules over her knees and elbows, and her arms and legs exhibited multiple patches of hyperpigmentation.Abnormal laboratory findings included an ESR of 56 mm/hr and a hemoglobin level of 10.8 g/dL. An assay for antinuclear antibodies and serum protein electrophoresis findings were normal. Microscopic sections from one of the skin nodules are shown in Figs 2

First Page Preview View Large
First page PDF preview
First page PDF preview
×