title: Acral vesicles and bullae in a patient with severe rheumatoid arthritis.
abstract: We present the case of a 56-year-old black woman with rheumatoid arthritis who developed worsening fatigue, fever, weight loss, and a vesiculobullous skin eruption while being treated with certolizumab pegol for her arthritis. Microscopic findings confirmed the diagnosis of a neutrophilic dermatosis.
authors.affiliation: Texas A&M College of Medicine, Bryan, Texas (Soza) and the Department of Dermatology, Baylor University Medical Center at Dallas (Griffin).
authors.forename: Gabriela M
authors.initials: GM
authors.lastname: Soza
authors.affiliation: Texas A&M College of Medicine, Bryan, Texas (Soza) and the Department of Dermatology, Baylor University Medical Center at Dallas (Griffin).
authors.forename: John R
authors.initials: JR
authors.lastname: Griffin