ABSTRACT
A 40-year-old woman presents to the dermatology clinic with a painful rash on the lower legs. The rash appeared suddenly on her bilateral legs with firm, painful nodules underneath the skin and seemed to spread within 1 week. Her medical history is notable for hypertension, poorly controlled Crohn’s disease and fibromyalgia. On physical examination, there are numerous redbrown subcutaneous nodules that are painful to the touch on the patient’s anterior lower legs (29). A biopsy is performed and demonstrates a septal panniculitis with lymphocytes and scattered neutrophils.
