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Case Records of the Massachusetts General Hospital

Case 22-2011 — A 79-Year-Old Man with a Rash, Arthritis, and Ocular Erythema

List of authors.
  • Daniela Kroshinsky, M.D.,
  • John H. Stone, M.D., M.P.H.,
  • and Rosalynn M. Nazarian, M.D.

A 79-year-old man was seen in the clinic because of a rash, painful and swollen hands, and red eyes. There was scleral erythema, urticaria on the torso, palpable purpura on the legs, and swelling and tenderness of the hand joints. A diagnostic procedure was performed.

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Funding and Disclosures

This case was presented at the Rheumatology Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

We thank Drs. Adrienne N. Knopf (Internal Medicine), Johnson T. Wong (Allergy and Immunology), Michael D. Raizman and Marc A. Leibole (Ophthalmology), and Peter C. Schalock (Dermatology) for assistance in preparing the case history.

Author Affiliations

From the Departments of Dermatology (D.K.), Rheumatology (J.H.S.), and Pathology (R.M.N.), Massachusetts General Hospital; and the Departments of Dermatology (D.K.), Medicine (J.H.S.), and Pathology (R.M.N.), Harvard Medical School — both in Boston.

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