Case 3

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI:

Series: Oxford Case Histories

Case 3

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A 19-year-old Brazilian woman, who was previously well, presented with a 10-day history of sudden-onset polyarthritis and a diffuse necrotizing rash. Since moving to England 4 years previously, she had noticed nasal congestion and clear discharge during the winter months. Examination revealed fever (37.9°C), tachycardia (110 beats/min), tender axillary and inguinal lymphadenopathy, and a symmetrical synovitis of elbows, wrists, ankles, and MCP joints. She had widespread tender erythematous nodules over her face, arms, and legs with truncal sparing (Fig. 3.1).

Chapter.  741 words.  Illustrated.

Subjects: Rheumatology

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