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Postgraduate Medical Journal 2002;78:249; doi:10.1136/pmj.78.918.249
Copyright © 2002 The Fellowship of Postgraduate Medicine.
Postgraduate Medical Journal 2002;78:249
© 2002 The Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTION

Rash

An episodic eruption

P Bentley and A Keat

Department of Rheumatology, Northwick Park Hospital, Harrow, Middlesex, UK

Correspondence to:
Correspondence to:
Dr P Bentley, Wellcome Department of Imaging Neuroscience, Institute of Neurology, 12 Queen Square, London WC1N 3BG, UK

Submitted 10 January 2001

Accepted 3 July 2001


Answers on p 252.

The first 150 words of the full text of this article appear below.

A 72 year old woman presented with a fleeting rash, lasting several days at a time, on both thighs and lower trunk, over a four month period (fig 1Go). The eruption was non-pruritic and non-palpable, and occurred on different parts of the legs at different times. She had a 30 year history of seropositive, erosive rheumatoid arthritis and a five year history of secondary Sjogren's syndrome. The patient also had two sinuses on the sole of her right foot, which had been present for a year, and which were being treated conservatively with cleansing and dressing. There were no other new symptoms on admission. Her medication had not changed in over a year, and consisted of methotrexate 15 mg/week (plus folic acid), prednisolone 15 mg/day, diclofenac, thioridazine, and doxepin.


 

She had a mild normocytic anaemia (haemoglobin concentration . . . [Full text of this article]


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