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Anastasia Petro, MD; Patrick A. Wegman, MD; Lyndon D. Su, MD
University of Michigan, Ann Arbor

Arch Dermatol. 2003;139:657-662.

	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 58-year-old white man presented with a 2-year history of a rash consisting of multiple 2- to 5-mm, flesh-colored, firm papules on the posterior helixes of the ears, on the dorsal surface of the wrists and hands, and on the fourth and fifth fingers overlying the joints (Figure 1 [arrows]). His skin also showed background erythema caused by moderate actinic damage. He had a 5-year history of recurrent debilitating bouts of pain and swelling involving his wrists and hands, as well as episodes of morning stiffness of his hands, and a 88 pack-year history of smoking. He had no history of Raynaud phenomenon.

Figure appears in full text version. Figure 1.

Laboratory studies, including a chemistry panel, liver function tests, complete blood cell count, erythrocyte sedimentation rate, urinalysis, and urine and serum electrophoresis, revealed no abnormalities. Serologic tests were negative for antinuclear antibody and . . . [Full Text of this Article]

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Arch Dermatol. 2003;139(5):657-662.
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