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Scott R. Checketts, MD; Scott C. Rackett, MD; Kathryn A. Zug, MD
Dartmouth-Hitchcock Medical Center, Lebanon, NH

Arch Dermatol. 1999;135:1409-1414.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 48-year-old woman presented with a 2-year history of diffuse, tender, erythematous pustules and papules. The eruption occurred in groups and persisted for several weeks during each episode before resolving spontaneously. These outbreaks were mostly confined to the upper part of the trunk and the extremities. The rash was accompanied by arthralgias, primarily involving the shoulders, as well as swelling of the wrists and fingers. The patient's medical history was notable for pancreatitis, a cholecystectomy, an appendectomy, a hysterectomy, ileojejunal bypass surgery, and bladder and rectum repair.

Physical examination revealed numerous erythematous tender 5-mm to 1-cm edematous papules, some with pustular centers. Lesions were scattered on the lower part of the legs to just above the knees (Figure 1), on the extensor aspect of the arms, on the upper part of the back, and around the . . . [Full Text of this Article]

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