Dermatology clinic

Painful nodules and plaques on the lower legs

Andrew Lee, Gayle Fischer



Test your diagnostic skills in our regular dermatology quiz. What is the correct diagnosis and what investigations are appropriate for this young woman?

Article Extract

Case presentation

An 18-year-old woman presents with painful nodules and plaques on her lower legs (Figure). She also complains of arthralgia involving her ankles.

The patient is afebrile and otherwise well. She has recently commenced the oral contraceptive pill but she takes no other medications.