Clinical Review Interactive case report

A 66 year old woman with a rash: presentation

BMJ 2003; 326 doi: (Published 15 March 2003) Cite this as: BMJ 2003;326:588
  1. J Bligh, professor (,
  2. R Farrow, director of problem based learning
  1. Peninsula Medical School, Tamar Science Park, Plymouth PL6 8BX
  1. Correspondence to: J Bligh

    Editorial by Richards and Peile

    Ruth is a 66 year old housewife who presented to her general practitioner with a two to three month history of feeling generally “out of sorts” followed by the development of a rash (figures). The rash first appeared on her fingers and spread to the backs of her hands. The most noticeable changes were on the nail folds, which became erythematous and swollen. …

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