Chapter

Case 36

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: http://dx.doi.org/10.1093/med/9780199587506.003.0036

Series: Oxford Case Histories

Case 36

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A 71-year-old woman presented to the rheumatology clinic with a painful ulcer of the right lower leg. She reported worsening fatigue over the previous 6 months and had lost about half a stone in weight over this time. She was known to have RF-positive rheumatoid arthritis, diagnosed 40 years previously. Her disease had been difficult to control and she had undergone multiple joint replacements and spinal stabilization. She had had leg ulcers in the past but was concerned that this ulcer was not healing, was intensely painful, and often bled.

Chapter.  1442 words.  Illustrated.

Subjects: Rheumatology

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