Abstract
A 36-year-old African American woman with anemia, multiple joint arthralgias, synovitis of the hand, and chronic pain presented with a 6-month progressive nodular eruption without induration on the arms, legs, and trunk (Fig 1). Review of symptoms was negative without any exposure to radiotherapy or gadolinium contrast. Laboratory evaluation revealed positive antibody titers: antinuclear antibody, >1:2560; anti–double-stranded DNA, >300IU/mL; Sjögren syndrome-A (RO) 1.2 AI; and anti-Smith; ribonucleoprotein IgG; and small nuclear ribonucleoprotein/ribonucleoprotein, >8.0 AI.
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