67 Year Old with Multiple Nodules on the Thigh

  • Robert A. Norman
  • Justin Endo
Part of the Clinical Cases in Dermatology book series (CLIDADE)


A 67-year-old man presents with a 2–3-week history of an ulceration of the left ankle, accompanied by swelling of both legs. He also noted new painful lesions on his thigh and punched-out ulcers on the lower legs. A workup for deep vein thrombophlebitis was negative.


Vasculitis Thrombophlebitis Pyoderma 


  1. Courtney RH, Glenn GR. Polyarteritis nodosa and cutaneous ­polyarteritis nodosa. SKINmed: Dermatol Clini. 2003;2:277–86.CrossRefGoogle Scholar
  2. Cox N, Jorizzo JL, Bourke JF, Savage COS. Vasculitis, neutrophilic dermatoses and related disorders. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s textbook of dermatology. 8th ed. Oxford, UK: Wiley-Blackwell; 2010.Google Scholar
  3. Goodless DR, Dhawan SS, Alexis J, Wiszniak J. Cutaneous periarteritis nodosa. Int J Dermatol. 1990;29:611–5.PubMedCrossRefGoogle Scholar
  4. Matteson EL. A history of early investigation in polyarteritis nodosa. Arthritis Care Res. 1999;12:294–302.PubMedCrossRefGoogle Scholar
  5. Morgan AJ, Schwartz RA. Cutaneous polyarteritis nodosa: a ­comprehensive review. Int J Dermatol. 2010;49:750–6.PubMedGoogle Scholar
  6. Thomas RM, Black MM. The wide clinical spectrum of polyarteritis nodosa with cutaneous involvement. Clin Exp Dermatol. 1983;8:47–59.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Robert A. Norman
    • 1
  • Justin Endo
    • 2
  1. 1.TampaUSA
  2. 2.MadisonUSA

Personalised recommendations