 | Your DermAtlas query returned 8 ImagesClick on the IMAGE to see an enlargement. |
 © 2001-2009, DermAtlas | Image Name: | rheumatoidnodule_2_020330 | File Type: | jpg | |
| Diagnosis: | RHEUMATOID GRANULOMA / RHEUMATOID NODULE | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | elbow / arm | Age: | 64 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | firm rubbery subcutaneous nodule | ||||
| Comments: | This 64 year old woman with longstanding rheumatoid arthritis developed nontender rubbery nodules on her elbows. She also had chronic synovitis with severe involvement of the wmall joints of her hands. A number of her nails demonstrate chronic distal subungual onychomycosis with yellowing, onycholysis, and scaling of the finger tips. | ||||
| Related Images: | All related Images rheumatoidnodule_3_020330 rheumatoidnodule_4_020330 rheumatoidnodule_5_020330 | ||||
 © 2001-2009, DermAtlas | Image Name: | rheumatoidgranuloma_4_010815 | File Type: | jpg | |
| Diagnosis: | CHURG-STRAUSS GRANULOMA / RHEUMATOID GRANULOMA / ARTHRITIS, RHEUMATOID | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | arm | Age: | 7 years | ||
| Contributor: | Margaret Moresi, MD | ||||
| Description: | There is a dermal infiltrate comprised of lymphocytes, histiocytes and occasionally neutrophils. In the upper dermis, this infiltrate is perivascular and nodular, while in the deep dermis and extending into the subcutaneous fat, the infiltrate forms palisaded granulomata. Central necrosis is seen with neutrophils. | ||||
| Comments: | The differential diagnosis includes other palisaded granulomatous disorders such as granuloma annulare, necrobiosis lipoidica and rheumatoid nodule. An infectious process should also be excluded, as well as factitial causes. | ||||
| Related Images: | All related Images churgstraussgranuloma_1_010815 churgstraussgranuloma_2_010815 churgstraussgranuloma_3_010815 churgstraussgranuloma_4_010815 rheumatoidgranuloma_2_010815 rheumatoidgranuloma_1_010815 | ||||
 © 2001-2009, DermAtlas | Image Name: | rheumatoidgranuloma_1_010815 | File Type: | jpg | |
| Diagnosis: | CHURG-STRAUSS GRANULOMA / RHEUMATOID GRANULOMA / ARTHRITIS, RHEUMATOID | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | arm | Age: | 7 years | ||
| Contributor: | Margaret Moresi, MD | ||||
| Description: | Dermal necrosis and a perivascular polymorphous inflammatory infiltrate with neutrophils are seen. Definitive evidence of vasculitis is not identified. | ||||
| Comments: | The differential diagnosis includes other palisaded granulomatous disorders such as granuloma annulare, necrobiosis lipoidica and rheumatoid granuloma. An infectious process should also be excluded. | ||||
| Related Images: | All related Images churgstraussgranuloma_1_010815 churgstraussgranuloma_2_010815 churgstraussgranuloma_3_010815 churgstraussgranuloma_4_010815 rheumatoidgranuloma_2_010815 rheumatoidgranuloma_4_010815 | ||||
 © 2001-2009, DermAtlas | Image Name: | rheumatoidgranuloma_2_010815 | File Type: | jpg | |
| Diagnosis: | CHURG-STRAUSS GRANULOMA / RHEUMATOID GRANULOMA / ARTHRITIS, RHEUMATOID | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | arm | Age: | 7 years | ||
| Contributor: | Margaret Moresi, MD | ||||
| Description: | A palisaded granulomatous inflammatory infiltrate extends into the subcutaneous tissue. Neutrophils and necrosis are present centrally. | ||||
| Comments: | The differential diagnosis includes other palisaded granulomatous disorders such as granuloma annulare, necrobiosis lipoidica and rheumatoid granuloma. An infectious process should also be excluded, as well as factitial causes. | ||||
| Related Images: | All related Images churgstraussgranuloma_1_010815 churgstraussgranuloma_2_010815 churgstraussgranuloma_3_010815 churgstraussgranuloma_4_010815 rheumatoidgranuloma_1_010815 rheumatoidgranuloma_4_010815 | ||||
 © 2001-2009, DermAtlas | Image Name: | churgstraussgranuloma_4_010815 | File Type: | jpg | |
| Diagnosis: | CHURG-STRAUSS GRANULOMA / ARTHRITIS, RHEUMATOID / RHEUMATOID GRANULOMA | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | knee | Age: | 7 years | ||
| Contributor: | Chris Ha, MD | ||||
| Description: | infiltrated red crusted annular fibrotic plaques with central atrophy | ||||
| Comments: | A 7 year old girl was evaluated for chronic round annular fibrotic plaques with central artophy on her face and extremities since 17 months of age. She had a history of rheumatoid factor negative arthritis, her father had a history of similar arthritis without skin lesions, and she had a younger sister with minimal arthritis and a few chronic cutaneous granulomatous plaques. Skin biopsy showed palisading granulomas in the deep dermis and a more superficial neutrophilic dermatitis. | ||||
| Related Images: | All related Images churgstraussgranuloma_1_010815 churgstraussgranuloma_2_010815 churgstraussgranuloma_3_010815 rheumatoidgranuloma_2_010815 rheumatoidgranuloma_1_010815 rheumatoidgranuloma_4_010815 | ||||
 © 2001-2009, DermAtlas | Image Name: | churgstraussgranuloma_3_010815 | File Type: | jpg | |
| Diagnosis: | CHURG-STRAUSS GRANULOMA / ARTHRITIS, RHEUMATOID / RHEUMATOID GRANULOMA | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | arm | Age: | 7 years | ||
| Contributor: | Chris Ha, MD | ||||
| Description: | infiltrated red crusted annular fibrotic plaques with central atrophy | ||||
| Comments: | A 7 year old girl was evaluated for chronic round annular fibrotic plaques with central artophy on her face and extremities since 17 months of age. She had a history of rheumatoid factor negative arthritis, her father had a history of similar arthritis without skin lesions, and she had a younger sister with minimal arthritis and a few chronic cutaneous granulomatous plaques. Skin biopsy showed palisading granulomas in the deep dermis and a more superficial neutrophilic dermatitis. | ||||
| Related Images: | All related Images churgstraussgranuloma_1_010815 churgstraussgranuloma_2_010815 churgstraussgranuloma_4_010815 rheumatoidgranuloma_2_010815 rheumatoidgranuloma_1_010815 rheumatoidgranuloma_4_010815 | ||||
 © 2001-2009, DermAtlas | Image Name: | churgstraussgranuloma_2_010815 | File Type: | jpg | |
| Diagnosis: | CHURG-STRAUSS GRANULOMA / ARTHRITIS, RHEUMATOID / RHEUMATOID GRANULOMA | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | leg | Age: | 7 years | ||
| Contributor: | Chris Ha, MD | ||||
| Description: | infiltrated red crusted annular fibrotic plaques with central atrophy | ||||
| Comments: | A 7 year old girl was evaluated for chronic round annular fibrotic plaques with central artophy on her face and extremities since 17 months of age. She had a history of rheumatoid factor negative arthritis, her father had a history of similar arthritis without skin lesions, and she had a younger sister with minimal arthritis and a few chronic cutaneous granulomatous plaques. Skin biopsy showed palisading granulomas in the deep dermis and a more superficial neutrophilic dermatitis. | ||||
| Related Images: | All related Images churgstraussgranuloma_1_010815 churgstraussgranuloma_3_010815 churgstraussgranuloma_4_010815 rheumatoidgranuloma_2_010815 rheumatoidgranuloma_1_010815 rheumatoidgranuloma_4_010815 | ||||
 © 2001-2009, DermAtlas | Image Name: | churgstraussgranuloma_1_010815 | File Type: | jpg | |
| Diagnosis: | CHURG-STRAUSS GRANULOMA / ARTHRITIS, RHEUMATOID / RHEUMATOID GRANULOMA | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | face / cheek | Age: | 7 years | ||
| Contributor: | Chris Ha, MD | ||||
| Description: | infiltrated red crusted annular fibrotic plaques with central atrophy | ||||
| Comments: | A 7 year old girl was evaluated for chronic round annular fibrotic plaques with central artophy on her face and extremities since 17 months of age. She had a history of rheumatoid factor negative arthritis, her father had a history of similar arthritis without skin lesions, and she had a younger sister with minimal arthritis and a few chronic cutaneous granulomatous plaques. Skin biopsy showed palisading granulomas in the deep dermis and a more superficial neutrophilic dermatitis. | ||||
| Related Images: | All related Images churgstraussgranuloma_2_010815 churgstraussgranuloma_3_010815 churgstraussgranuloma_4_010815 rheumatoidgranuloma_2_010815 rheumatoidgranuloma_1_010815 rheumatoidgranuloma_4_010815 | ||||
    Books by the Dermatlas Editors | © DermAtlas, Johns Hopkins University; 2000-2009 |
Link directly to this page: http://DermAtlas.med.jhmi.edu/derm/result.cfm?Diagnosis=449027661