28654 A case of panniculitis and polyarthritis revealing an underlying malignancy

Abstract

A 64-year-old male with a history of hemochromatosis presented with 3 months of recurrent, painful subcutaneous skin lesions. They first appeared as tender, erythematous nodules that would slowly resolve into hyperpigmented, indurated plaques. These occurred symmetrically on the legs, arms, upper back, and abdomen. The patient also complained of migratory joint pain and swelling that affected his hands, feet, ankles, and shoulder. Both the migratory polyarthritis and the patient’s skin lesions improved when he had courses of oral prednisone.