Red-brown skin lesions and pruritus.

BUMC PROCEEDINGS 2000;13:297–299 CASE 1 A 58-year-old woman presented with numerous red-brown papules scattered over her body (Figure 1). A few of the lesions urticated on gentle stroking. She had had rheumatoid arthritis since age 46 and a pruritic rash since age 52. She was not taking any new medications and had no history of treatment with hydroxychloroquine or gold. After therapy with topical creams and systemic antihistamines failed to control her itching, photochemotherapy (psoralen plus ultraviolet A) was initiated.