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KMID : 0352819920080020207
Kosin Medical Journal
1992 Volume.8 No. 2 p.207 ~ p.214
A Case of Perforating Rheumatoid Nodule
Kim Kwang

Chae Young-Soo
Suh Kee-Suck
Kim Sang-Tae
Abstract
Subcutaneous rheumatoid nodules which occur most commonly in rheumatoid arthritis show central draining perforation rarely.
We report a cases of perforating rheumatoid nodule occuring on the occiput of a patient who had a history of rheumatoid arthritis for 3 years. A biopsy specimen of the subcutaneous nodule with central core on the occiput showed extensive
eosinophilic or necrobiotic basophilic materials replacing the papillary dermis to the base f the specimen. A column of necrobiotic, PAS-positive material extended through the overlying dermis and epidermis to the skin surface.
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