Periarteritis Nodosa? Nodular Vasculitis? (Case 1). Presented by Dr. John Ebling and Dr. A. Glen (service of Dr. R. B. Stoughton and Dr. Rolf Miller).
The patient is a 45-year-old white male who was injured on May 8, 1950, when a jackscrew fell on his right foot. The leg became swollen, tender, and painful. An x-ray was negative, so treatment consisted of elevation and rest. However, moderate swelling and pain persisted with a discoloration of the skin overlying the ankle. Two years after original injury, a large local nodule "containing pus and bone fragments" was surgically excised from the area. However, symptoms persisted, and the lower leg became more swollen, painful, and useless. Multiple new nodules along the instep were also excised, but the leg became worse until amputated in 1953. Shortly thereafter, deep painful nodules followed by a blotchy, violaceous, pruritic rash appeared on the left foot and
Glicksberg EL, Stoughton RB, Ranchoff JY. CLEVELAND DERMATOLOGIC SOCIETY. Arch Dermatol. 1962;85(4):559–564. doi:10.1001/archderm.1962.01590040123031
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: