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Painful Leg Ulcer in Seropositive RA

Painful Leg Ulcer in Seropositive RA

Pyoderma gangrenosum

A 48-year-old woman with seropositive rheumatoid arthritis presents with this solitary, rapidly expanding and very painful (analog scale 9 out of 10) ulcer on the pretibial surface of her leg.


Which of the following do you diagnose?
A. Antiphospholipid antibody syndrome
B. Churg-Strauss syndrome
C. Wegener granulomatosis
D. Pyoderma gangrenosum
E. Behet disease



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