An 83-year-old woman was admitted for "chronic cellulitis" over 2 to 3 months. The patient complained of " knots" in the arms and legs, also complained of leg pain and ulcers. Past Medical History: Nephrotic syndrome, hypertension, peptic ulcer disease and anemia. Medication: Her current medication included prednisone 15 mg every day. Physical Examination: Revealed multiple verrucous and crusted papules, plaques on bilateral arms and legs. There is also a 5 cm ulceration on the left lower leg.
There are multiple tender nodules as well (figure 1 and 2). An incisional wedge biopsy was performed on the right arm. What would be the probable diagnosis of the condition on the basis of the reports? Case and image source: Washington University School of Medicine, Dept of Dermatology. *This case is from the Docplexus Editorial Team and is for educative purpose only.
