Glenda Hall, MD; Catherine M. Stefanato MD; Tania Phillips MD, FRCPC


Wounds. 2004;16(1) 

In This Article


A 57-year-old African-American woman presented with a three-year-history of arthritis and changes in the quality of her skin. After an injury to the left leg in October, 2000, she developed rapidly progressive induration and pigmentary alteration of the skin of the left leg associated with limited movement of the knee and ankle. Over the past year, the skin on the medial aspect of the foot had ulcerated, and she was concerned about the large amount of drainage from the wound. She also complained of joint stiffness and pain, muscle cramps, and Raynaud's phenomenon. She denied dysphagia or gastrointestinal symptoms. Her family history was significant for the presence of rheumatoid arthritis and systemic lupus erythematosus.


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