title: A man with palpable purpuric hand lesions.
abstract: A 75-year-old man with seronegative rheumatoid arthritis presented with a three-day history of low-grade fever, new arthralgias, mouth sores, and bilateral cutaneous hand lesions. He had not had hand trauma.
authors.affiliation: Department of Medicine, University of South Florida College of Medicine, James A. Haley Veterans Affairs Medical Center, Tampa, USA.
authors.forename: G
authors.initials: G
authors.lastname: Matfin
authors.forename: J S
authors.initials: JS
authors.lastname: Vasta
authors.forename: A
authors.initials: A
authors.lastname: D'Agostino
authors.forename: H M
authors.initials: HM
authors.lastname: Adelman
mesh_terms: D000368:Aged; D000897:Anti-Ulcer Agents / Q000009:adverse effects*; D003937:Diagnosis, Differential; D003875:Drug Eruptions / Q000209:etiology / Q000473:pathology; D006229:Hand Dermatoses / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008297:Male; D016567:Nizatidine / Q000009:adverse effects*; D010173:Palpation; D011696:Purpura, Thrombocytopenic / Q000209:etiology / Q000473:pathology*; D018366:Vasculitis, Leukocytoclastic, Cutaneous / Q000139:chemically induced / Q000150:complications / Q000473:pathology
chemical_list: D000897:Anti-Ulcer Agents; D016567:Nizatidine