| © 2001-2010, DermAtlas | Image Name: | sle_6_021024 | File Type: | jpg | |
| Diagnosis: | LUPUS ERYTHEMATOSUS / LUPUS ERYTHEMATOSUS, SYSTEMIC / GRANULOMA ANNULARE / SYNOVITIS | Category: | collagen vascular disease / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | total body / back | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | synovitis with synovial thickening and swelling | ||||
| Comments: | This 11 year old boy, with a strong family history of lupus, developed multiple disseminated hypopigmented dermal papules on the chest, abdomen, back, and proximal extremities. A skin biopsy showed changes most consistent with granuloma annulare. He also complained of intermittent fevers and severe joint tenderness that interfered with normal activities. He had synovitis with prominent synovial swelling of the hands and feet, low complement levels (C3, C4), high titer antinuclear antibody, positive anti-double stranded DNA antibody, and lymphopenia. He denied photosensitivity, hair loss, and oral ulcerations, and his cardiac, pulmonary, and neurologic examinations were normal. Urinalysis and serum chemistries were also normal. He was being followed closely by his pediatrician, pediatric dermatologist and pediatric rheumatologist. | ||||
| Related Images: | All related Images sle_1_021024 sle_2_021024 sle_3_021024 sle_4_021024 sle_5_021024 | ||||
| © 2001-2010, DermAtlas | Image Name: | sle_5_021024 | File Type: | jpg | |
| Diagnosis: | LUPUS ERYTHEMATOSUS / LUPUS ERYTHEMATOSUS, SYSTEMIC / GRANULOMA ANNULARE / SYNOVITIS | Category: | collagen vascular disease / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | hand / wrist | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | synovitis with synovial thickening and swelling | ||||
| Comments: | This 11 year old boy, with a strong family history of lupus, developed multiple disseminated hypopigmented dermal papules on the chest, abdomen, back, and proximal extremities. A skin biopsy showed changes most consistent with granuloma annulare. He also complained of intermittent fevers and severe joint tenderness that interfered with normal activities. He had synovitis with prominent synovial swelling of the hands and feet, low complement levels (C3, C4), high titer antinuclear antibody, positive anti-double stranded DNA antibody, and lymphopenia. He denied photosensitivity, hair loss, and oral ulcerations, and his cardiac, pulmonary, and neurologic examinations were normal. Urinalysis and serum chemistries were also normal. He was being followed closely by his pediatrician, pediatric dermatologist and pediatric rheumatologist. | ||||
| Related Images: | All related Images sle_1_021024 sle_2_021024 sle_3_021024 sle_4_021024 sle_6_021024 | ||||
| © 2001-2010, DermAtlas | Image Name: | sle_4_021024 | File Type: | jpg | |
| Diagnosis: | LUPUS ERYTHEMATOSUS / LUPUS ERYTHEMATOSUS, SYSTEMIC / GRANULOMA ANNULARE / SYNOVITIS | Category: | collagen vascular disease / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | total body / chest arm | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | diffuse hypopigmented 3-5 mm dermal papules | ||||
| Comments: | This 11 year old boy, with a strong family history of lupus, developed multiple disseminated hypopigmented dermal papules on the chest, abdomen, back, and proximal extremities. A skin biopsy showed changes most consistent with granuloma annulare. He also complained of intermittent fevers and severe joint tenderness that interfered with normal activities. He had synovitis with prominent synovial swelling of the hands and feet, low complement levels (C3, C4), high titer antinuclear antibody, positive anti-double stranded DNA antibody, and lymphopenia. He denied photosensitivity, hair loss, and oral ulcerations, and his cardiac, pulmonary, and neurologic examinations were normal. Urinalysis and serum chemistries were also normal. He was being followed closely by his pediatrician, pediatric dermatologist and pediatric rheumatologist. | ||||
| Related Images: | All related Images sle_1_021024 sle_2_021024 sle_3_021024 sle_5_021024 sle_6_021024 | ||||
| © 2001-2010, DermAtlas | Image Name: | sle_3_021024 | File Type: | jpg | |
| Diagnosis: | LUPUS ERYTHEMATOSUS / LUPUS ERYTHEMATOSUS, SYSTEMIC / GRANULOMA ANNULARE / SYNOVITIS | Category: | collagen vascular disease / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | total body / chest arm | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | diffuse hypopigmented 3-5 mm dermal papules | ||||
| Comments: | This 11 year old boy, with a strong family history of lupus, developed multiple disseminated hypopigmented dermal papules on the chest, abdomen, back, and proximal extremities. A skin biopsy showed changes most consistent with granuloma annulare. He also complained of intermittent fevers and severe joint tenderness that interfered with normal activities. He had synovitis with prominent synovial swelling of the hands and feet, low complement levels (C3, C4), high titer antinuclear antibody, positive anti-double stranded DNA antibody, and lymphopenia. He denied photosensitivity, hair loss, and oral ulcerations, and his cardiac, pulmonary, and neurologic examinations were normal. Urinalysis and serum chemistries were also normal. He was being followed closely by his pediatrician, pediatric dermatologist and pediatric rheumatologist. | ||||
| Related Images: | All related Images sle_1_021024 sle_2_021024 sle_4_021024 sle_5_021024 sle_6_021024 | ||||
| © 2001-2010, DermAtlas | Image Name: | sle_2_021024 | File Type: | jpg | |
| Diagnosis: | LUPUS ERYTHEMATOSUS / LUPUS ERYTHEMATOSUS, SYSTEMIC / GRANULOMA ANNULARE / SYNOVITIS | Category: | collagen vascular disease / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | total body / back | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | diffuse hypopigmented 3-5 mm dermal papules | ||||
| Comments: | This 11 year old boy, with a strong family history of lupus, developed multiple disseminated hypopigmented dermal papules on the chest, abdomen, back, and proximal extremities. A skin biopsy showed changes most consistent with granuloma annulare. He also complained of intermittent fevers and severe joint tenderness that interfered with normal activities. He had synovitis with prominent synovial swelling of the hands and feet, low complement levels (C3, C4), high titer antinuclear antibody, positive anti-double stranded DNA antibody, and lymphopenia. He denied photosensitivity, hair loss, and oral ulcerations, and his cardiac, pulmonary, and neurologic examinations were normal. Urinalysis and serum chemistries were also normal. He was being followed closely by his pediatrician, pediatric dermatologist and pediatric rheumatologist. | ||||
| Related Images: | All related Images sle_1_021024 sle_3_021024 sle_4_021024 sle_5_021024 sle_6_021024 | ||||
| © 2001-2010, DermAtlas | Image Name: | sle_1_021024 | File Type: | jpg | |
| Diagnosis: | LUPUS ERYTHEMATOSUS / LUPUS ERYTHEMATOSUS, SYSTEMIC / GRANULOMA ANNULARE / SYNOVITIS | Category: | collagen vascular disease / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | total body / back | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | diffuse hypopigmented 3-5 mm dermal papules | ||||
| Comments: | This 11 year old boy, with a strong family history of lupus, developed multiple disseminated hypopigmented dermal papules on the chest, abdomen, back, and proximal extremities. A skin biopsy showed changes most consistent with granuloma annulare. He also complained of intermittent fevers and severe joint tenderness that interfered with normal activities. He had synovitis with prominent synovial swelling of the hands and feet, low complement levels (C3, C4), high titer antinuclear antibody, positive anti-double stranded DNA antibody, and lymphopenia. He denied photosensitivity, hair loss, and oral ulcerations, and his cardiac, pulmonary, and neurologic examinations were normal. Urinalysis and serum chemistries were also normal. He was being followed closely by his pediatrician, pediatric dermatologist and pediatric rheumatologist. | ||||
| Related Images: | All related Images sle_2_021024 sle_3_021024 sle_4_021024 sle_5_021024 sle_6_021024 | ||||
| © 2001-2010, DermAtlas | Image Name: | rheumatoidnodule_5_020330 | File Type: | jpg | |
| Diagnosis: | RHEUMATOID ARTHRITIS / SYNOVITIS / ONYCHOLYSIS / ONYCHOMYCOSIS | Category: | collagen vascular disease / infections and infestations | ||
| Body Site: | hand / finger | Age: | 64 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | chronic synovitis, nail yellowing with distal sugungual scale and onycholysis | ||||
| 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_2_020330 rheumatoidnodule_3_020330 rheumatoidnodule_4_020330 | ||||
| © 2001-2010, DermAtlas | Image Name: | rheumatoidnodule_4_020330 | File Type: | jpg | |
| Diagnosis: | RHEUMATOID ARTHRITIS / ONYCHOMYCOSIS / ONYCHOLYSIS / SYNOVITIS | Category: | collagen vascular disease / granulomatous disorder | ||
| Body Site: | hand / finger | Age: | 64 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | chronic synovitis, nail yellowing with distal sugungual scale and onycholysis | ||||
| 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_2_020330 rheumatoidnodule_3_020330 rheumatoidnodule_5_020330 | ||||
| © 2001-2010, DermAtlas | Image Name: | rheumatoidnodule_3_020330 | File Type: | jpg | |
| Diagnosis: | RHEUMATOID ARTHRITIS / ONYCHOMYCOSIS / ONYCHOLYSIS / SYNOVITIS | Category: | collagen vascular disease / infections and infestations | ||
| Body Site: | hand / finger | Age: | 64 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | chronic synovitis, nail yellowing with distal sugungual scale and onycholysis | ||||
| 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_2_020330 rheumatoidnodule_4_020330 rheumatoidnodule_5_020330 | ||||
![]() ![]() Books by the Dermatlas Editors | ![]() ACI Journal | © DermAtlas, Johns Hopkins University; 2000-2010 |
Link directly to this page: http://DermAtlas.med.jhmi.edu/derm/result.cfm?Diagnosis=-1087962730