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Varee N. Poochareon, MD; Isabel C. Valencia, MD; Clara Milikowski, MD; Carlos H. Nousari, MD
University of Miami Miller School of Medicine, Miami, Florida

Arch Dermatol. 2008;144(10):1383-1388.

	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 47-year-old white Hispanic man presented with a 1-month history of multiple firm, pink papules over the hands, forearms, face, and ears. There was no associated pruritus, bleeding, or history of known exposures. The onset of lesions was accompanied by unintentional weight loss of 6.8 kg over 4 weeks; arthritis of the hands, elbows, and knees; and recurrent fevers, for which the patient had not yet received medical evaluation or treatment. Physical examination revealed multiple discrete, mildly tender, firm, pink papules over the dorsum of the hands, wrists, forearms, face, and helices, without surrounding erythema, edema, or excoriation (Figure 1). A swollen, erythematous, and warm left elbow was noted, as well as a grossly cachectic appearance and temperature of 38.4°C. A shave biopsy specimen of a papule from the patient's hand was obtained . . . [Full Text of this Article]

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Multiple Pink Papules in the Setting of Arthritis and Fever—Diagnosis
Arch Dermatol. 2008;144(10):1383-1388.
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