Baylor University Medical Center Proceedings 2015-Oct
Acral vesicles and bullae in a patient with severe rheumatoid arthritis.
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We present the case of a 56-year-old black woman with rheumatoid arthritis who developed worsening fatigue, fever, weight loss, and a vesiculobullous skin eruption while being treated with certolizumab pegol for her arthritis. Microscopic findings confirmed the diagnosis of a neutrophilic dermatosis.