This is a case of a patient presenting with nonresolving violaceous plaques for over 12 years of duration. In addition to the skin findings, the patient notes progressive arthropathy and nail changes. A multiple-choice question is presented, and readers will be challenged to diagnose this patient based on the case presentation, symptoms, and patient history. An answer is given followed by a discussion of the diagnosis, clinical features, and therapeutic management.
Andia Mitri, BS, Stritch School of Medicine, Loyola University Chicago, Maywood, IL.
Adam Vaudreuil, MD, Division of Dermatology, Loyola University Chicago, Maywood, IL.
Eden Lake, MD, Division of Dermatology, Loyola University Chicago, Maywood, IL.
The authors declare no conflict of interest.
Correspondence concerning this article should be addressed to Andia Mitri, BS, Department of Dermatology, Loyola University Medical Center, 2160 S. 1st Ave., Maywood, IL 60153. E-mail: email@example.com