case_images: PMC8202317_01
case_images: Skin rash in the patient. The rash started with erythema, followed by purpura and pigmentation. Non-palpable purpura and pigmentation on the patient's shoulder are shown (left). Non-palpable purpura and pigmentation on the superficial vein of the patient's lower leg are shown (right).
case_images: 10.1177_2050313X211024508-fig1.jpg
case_images: PMC8202317_01_10.1177_2050313X211024508-fig1.jpg
case_images: fig1-2050313X211024508
case_images: A 54-year-old man with a history of alcoholic liver dysfunction and gout was referred to our hospital with rashes on his extremities (Figure 1).
case_images: Area of point tenderness. Tender points on the patient's hands and feet are shown (black dots).
case_images: 10.1177_2050313X211024508-fig2.jpg
case_images: PMC8202317_01_10.1177_2050313X211024508-fig2.jpg
case_images: fig2-2050313X211024508
case_images: Subsequently, he began to experience pitting pedal edema and pain around the toes and heels (Figure 2).The symptoms of the affected joints were never in complete remission for more than a year without obvious joint swelling with erythema.