Rheumatologic Rashes

Question 1

5 year with high fever, arthralgia, rash.

Answer 1

Systemic Onset JIA

• Evanescent, maculopapular salmon pink rash.
• Anterior uveitis.
• Can be ANA, RF negative

Question 2

16 year old African American male with the aforementioned rash and kidney disease.

Answer 2

Lupus

Many associated muucocutaneous manifestions associated with lupus. Seen at some point in 80% of patients. Includes malar rash, discoid rash, photosensitivity, oral ulcers (including silent ulceration). For diagnosis need 4 of the 11 attached criteria.

Question 3

4 year old female with proximal weakness and the associated rash.

Answer 3

Dermatomyositis

Heliotrope: Red rash around the eyelids

Gottron’s Papules: Scaly rash on the knuckles

Question 4

12 year old with abdominal pain, joint pain, and the following rash.

Answer 4

HSP: IgA Vasculitis, associated with arthritis, abdominal pain, and GI hemmorrhages. Associated hematuria and proteinuria may be seen.

Question 5

13 yom with classic triad of eye compliants (uveitis), oral and genital ulcers.

Answer 5

Behcet’s disease

Question 6

2 year old female with abrupt onset of fever and tender, painful nodules.

Answer 6

Sweet Syndrome.

Acute neutrophilic dermatosis. Associated with very tender nodules or plaques. Presents with arthralgias, oral ulcers. Frequnetly associated with malignancy (AML, GAS, G-CSF).