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Clinical Image: Skin hyperpigmentation over inflamed joints

  1. M. A. Ostroumova MD, MRCP1,
  2. C. R. Lovell MB, ChB, MD, FRCP2,
  3. N. J. McHugh MB, ChB, FRCP3,
  4. R. J. Mann MB, FRCP4

Article first published online: 25 JUL 2006

DOI: 10.1002/art.22037

Issue

Arthritis & Rheumatism

Arthritis & Rheumatism

Volume 54, Issue 8, page 2604, August 2006

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How to Cite

Ostroumova, M. A., Lovell, C. R., McHugh, N. J. and Mann, R. J. (2006), Clinical Image: Skin hyperpigmentation over inflamed joints. Arthritis & Rheumatism, 54: 2604. doi: 10.1002/art.22037

Author Information

  1. 1

    Bristol Dermatology Centre, Bristol, UK

  2. 2

    Great Western Hospital, Swindon, UK

  3. 3

    Royal United Hospital, Bath, UK

  4. 4

    Royal National Hospital for Rheumatic Diseases, Bath, UK

Publication History

  1. Issue published online: 25 JUL 2006
  2. Article first published online: 25 JUL 2006

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The patient, a 16-year-old girl, developed a striking skin hyperpigmentation over her joints following an episode of inflammatory arthritis. The pathogenesis of this sign remains unclear. The phenomenon may be related to increased vascularity similar to the increased growth of lanugo hair over areas of subcutaneous cellulitis. 1

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