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An episodic eruption

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

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 1). 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.

View larger version (72K): [in this window] [in a new window]   Figure 1 Rash on medial aspect of both legs (reproduced with patient's permission).

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