Show Summary Details
Page of

Case 36 

Case 36
Case 36

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 07 August 2020

A 71-year-old woman presented to the rheumatology clinic with a painful ulcer of the right lower leg. She reported worsening fatigue over the previous 6 months and had lost about half a stone in weight over this time. She was known to have RF-positive rheumatoid arthritis, diagnosed 40 years previously. Her disease had been difficult to control and she had undergone multiple joint replacements and spinal stabilization. She had had leg ulcers in the past but was concerned that this ulcer was not healing, was intensely painful, and often bled.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.