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Anatoli Freiman, MD; Marie St-Jacques, MD; Ronald Onerheim, MD; Denis Sasseville, MD
McGill University Health Centre, Montreal, Quebec

Arch Dermatol. 2005;141:1035-1040.

	Since this article does not have an abstract, we have provided the first 97 words of the full text and any section headings.

REPORT OF A CASE

A previously healthy 30-year-old man presented with a spontaneous onset of a skin ulcer on his left leg and multiple deep-seated necrotic nodules on his extremities (Figure 1). His condition subsequently worsened; he became febrile and developed polyarthralgia, myalgia, and hypoesthesias of his extremities. Laboratory investigations revealed marked anemia, thrombocytopenia, and evidence of hepatic failure. A deep wedge biopsy specimen was obtained from a skin nodule (Figure 2 and Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD

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Fever and Necrotic Nodules on the Extremities—Diagnosis
Arch Dermatol. 2005;141(8):1035-1040.
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