case_images: PMC10284652_01
case_images: Nodular rash on extensor surfaces of upper extremity lower extremity.
case_images: CRIRH2023-8083212.001.jpg
case_images: PMC10284652_01_CRIRH2023-8083212.001.jpg
case_images: fig1
case_images: He had nontender raised pearly nodular rashes on extensor aspects of arms, legs, and anterior abdomen for more than a year (Figures 1 and 2).
case_images: Pearly white nodular rash on anterior abdomen (a) fingertips (b), and auricle (c).
case_images: CRIRH2023-8083212.002.jpg
case_images: PMC10284652_01_CRIRH2023-8083212.002.jpg
case_images: fig2
case_images: He had nontender raised pearly nodular rashes on extensor aspects of arms, legs, and anterior abdomen for more than a year (Figures 1 and 2).
case_images: Bilateral hand X-rays with diffuse periarticular osteopenia, diffuse severe joint space narrowing involving carpel bones and radiocarpal joints, erosive changes in bilateral ulnar styloid processes, 4th and 5th carpometacarpal joints, and radiocarpal and radioulnar joints.
case_images: CRIRH2023-8083212.003.jpg
case_images: PMC10284652_01_CRIRH2023-8083212.003.jpg
case_images: fig3
case_images: Bilateral hand X-rays (Figure 3) revealed severe periarticular osteopenia, severe joint space narrowing at radiocarpal, intercarpal, and carpometacarpal joints along with erosions in carpal bones and ulnar styloid processes.