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tome 46 > n86 > June 2017 Observation A 79 year-old Finnish woman with a 40-year history of RA and currently under methotrexate was referred for asymptomatic, small, brownish, necrotic… Click to show full abstract
tome 46 > n86 > June 2017 Observation A 79 year-old Finnish woman with a 40-year history of RA and currently under methotrexate was referred for asymptomatic, small, brownish, necrotic crusts on the finger joints and the nail fold evolving for a month (figures 1 and 2). She also disclosed non-infiltrated petechial purpura on the palms. A punch skin biopsy of a purpuric lesion of the dorsum of a finger confirmed the diagnosis of leucocytoclastic vasculitis. Because such lesions are benign, no specific treatment was initiated and the patient was referred to her rheumatologist for the management of RA.
Journal Title: Presse medicale
Year Published: 2017
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