John Libbey Eurotext

European Journal of Dermatology

sQuiz your knowledge: Chronic ulceration of the palm Volume 27, issue 4, July-August 2017

Figures

  • Figure 1
Authors
1 Department of Dermatology, CHRU, Tours, France
2 Department of Pathology CHRU, Tours, France

A 76-year-old woman presented with ulceration of the palm of the hand that appeared five months ago. She had received methotrexate (12.5 mg/week) and prednisone (5 mg/day) for rheumatoid arthritis for six years. Physical examination revealed a 7.5-cm-wide sharp-contoured and painless ulceration of the palm, without fibrin, necrosis or sensitive disorder (figure 1A). General examination was otherwise normal. Laboratory tests showed lymphopenia (150/mm3) and an increased creatinine level (141vs 88 μm/L, [...]