Rheumatology Case 8

A 52 year-old housewife presented to the outpatient Rheumatology Clinic because of arthritis involving the knees, elbows and shoulders and a low grade fever. Physical examination showed a maculo-papular rash over the extensor surfaces of the knees and tibia as shown in the picture. Chest X-ray revealed mild hilar lymphadenopathy and PPD was negative. The differential diagnosis includes:
1. Systemic lupus erythematosus  
2. Lucio phenomenon  
3. Sarcoidosis
4. T-cell lymphoma  
5. Tuberculosis  





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