Rheumatoid Arthritis No. 1
Significant ulnar deviation of the digits, typical of rheumatoid arthritis.
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Significant ulnar deviation of the digits, typical of rheumatoid arthritis.
Note white discolouration of digits. (Courtesy of Dr. D. Jerome)
Onycholysis: Lifting of the nail starting at the distal end, seen in psoriatic arthritis. (Courtesy of Dr. D. Jerome)
Nail pitting seen in psoriatic arthritis. (Courtesy of Dr. D. Jerome)
Violaceous, hyperpigmented, atrophic plaques; keratotic scale with follicular plugging and scarring. (Courtesy Dr. L. From)
Classic heliotrope rash of periorbital and perinasal violaceous erythema. (Courtesy Dr. M. Urowitz)
Dermatomyositis (DM) of Hands
Erythematous flat-topped scaling papules over the knuckles showing Gottron’s papules and periungal telangiectasia. (Courtesy of The Hospital for Sick Children Slide Library, Toronto)
Stage 1 – Nonblanchable erythema of intact skin.
Stage 2 – Partial thickness superficial skin loss involving epidermis and/or dermis that usually presents as an abrasion, blister, or shallow crater.
Stage 3 – Full thickness skin loss with damage or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia, presenting as a deep crater with or without undermining of adjacent tissue.
Stage 4 – Full thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures (e.g. tendon or joint capsule), and may be present with undermining and sinus tracts.
Venous Stasis Ulcer (Courtesy of Dr. A. Freiberg)
Diabetic Foot Ulcer (Courtesy of Dr. A. Freiberg)