Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Purple Toes in a Patient With End-Stage Rheumatoid Arthritis

Purple Toes in a Patient With End-Stage Rheumatoid Arthritis CRITICAL SITUATIONS SECTION EDITOR: ANITA G. LICATA, MD Purple Toes in a Patient With End-Stage Rheumatoid Arthritis Hossein C. Nousari, MD; Arash Kimyai-Asadi, MD; Justin Stebbing, MD, MRCP; John H. Stone, MD, MPH; the Division of Dermatoimmunology, Department of Dermatology (Drs Nousari and Kimyai-Asadi), and the Division of Rheumatology, Department of Medicine (Drs Stebbing and Stone), Johns Hopkins Medical Institutions, Baltimore, Md Critical Situations: Dermatology in the Acute Care Setting REPORT OF A CASE Physical examination revealed an obese woman with a temperature of 38.7°C. Her musculoskeletal examina- A 57-year-old Puerto Rican woman was admitted with a tion demonstrated extensive joint deformities, including 4-week history of painful, purple toes associated with mal- decreased range of motion in the shoulders, flexion con- aise, fevers, sweats, and intermittent discomfort in the traction of the elbows, loss of flexion and extension at both middle part of her chest. She had initially presented to wrists, and “opera glass” deformities of the hands an outside hospital, where blood cultures, a transthor- (Figure 1). However, there was no active synovitis and acic echocardiogram, and an angiogram of the lower ab- rheumatoid nodules were absent. A 3-component peri- dominal aorta with runoff revealed no abnormalities. How- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Purple Toes in a Patient With End-Stage Rheumatoid Arthritis

Loading next page...
 
/lp/american-medical-association/purple-toes-in-a-patient-with-end-stage-rheumatoid-arthritis-TWTmH5I5zu
Publisher
American Medical Association
Copyright
Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/archderm.135.6.648
Publisher site
See Article on Publisher Site

Abstract

CRITICAL SITUATIONS SECTION EDITOR: ANITA G. LICATA, MD Purple Toes in a Patient With End-Stage Rheumatoid Arthritis Hossein C. Nousari, MD; Arash Kimyai-Asadi, MD; Justin Stebbing, MD, MRCP; John H. Stone, MD, MPH; the Division of Dermatoimmunology, Department of Dermatology (Drs Nousari and Kimyai-Asadi), and the Division of Rheumatology, Department of Medicine (Drs Stebbing and Stone), Johns Hopkins Medical Institutions, Baltimore, Md Critical Situations: Dermatology in the Acute Care Setting REPORT OF A CASE Physical examination revealed an obese woman with a temperature of 38.7°C. Her musculoskeletal examina- A 57-year-old Puerto Rican woman was admitted with a tion demonstrated extensive joint deformities, including 4-week history of painful, purple toes associated with mal- decreased range of motion in the shoulders, flexion con- aise, fevers, sweats, and intermittent discomfort in the traction of the elbows, loss of flexion and extension at both middle part of her chest. She had initially presented to wrists, and “opera glass” deformities of the hands an outside hospital, where blood cultures, a transthor- (Figure 1). However, there was no active synovitis and acic echocardiogram, and an angiogram of the lower ab- rheumatoid nodules were absent. A 3-component peri- dominal aorta with runoff revealed no abnormalities. How-

Journal

JAMA DermatologyAmerican Medical Association

Published: Jun 1, 1999

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month