February 2003

1.

History:
A 76 year old white female with a history of rheumatoid arthritis and resected cervical cancer presented to Dermatology clinic with painful red sores on her left shin for two weeks. She denied fever, chills, or trauma to her leg.

Physical Exam:
On examination, she had 15 juicy red papules on the left shin (Figure 1). There was initial concern for an infectious etiology. Two 4 mm punch biopsies were performed and a course of Keflex was given.

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