September 2021 - Case of the Month
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 52 year old man presented with a one year history of skin lesions predominantly on his hands, ears and scalp. He was also complaining of painful swollen fingers associated with morning stiffness. There was no family history of skin or joint problems.
Non-tender firm papules and nodules mainly on the backs of the hands and ears. There was joint deformity especially of the distal IP joints.
What tests would you perform?
Except for raised inflammatory markers, other blood tests were normal. A hand X-ray showed a destructive arthropathy.
The diagnosis is multicentric reticulohistiocytosis, a rare histiocytic proliferative disorder, first described in 1954 by Goltz and Laymon, in which joints, skin and mucous membranes are affected. Other organs may be involved and 20% of patients have an internal malignancy.
For more information refer to the chapter multicentric reticulohistiocytosis.
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 52 year old man presented with a one year history of skin lesions predominantly on his hands, ears and scalp. He was also complaining of painful swollen fingers associated with morning stiffness. There was no family history of skin or joint problem...
A 72 year old man was referred with a rash, predominantly on the legs. The patient was systemically well and the lesions were only mildly symptomatic. The lesions presented as one to several at a time lasting several weeks. They had not res...
Welcome back to the new look PCDS website, and our first case. This lady was referred as a 2-week wait with a changing lesion on the right temple.
A 15 year old lady was referred for a diagnostic opinion for skin changes presenting in birth, affecting the right upper back, shoulder, antecubital fossa and dorsal wrist. The patient was asymptomatic and otherwise well.
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