A 65-year-old man presented to our hospital with a 1-year history of multiple nodules on his arms and hands without itching or pain. He is suffering from autoimmune thrombocytopenia for more than 20 years and taking long-term oral glucocorticoids. He also had history of diabetes, hypertension and hyperthyroidism. On physical examination, a number of subcutaneous nodules were found on the arms and hands (Fig.1). The lab test showed negative of HLA-B27, RF and anti-CCP antibody. Dual energy CT did not detect any gout crystal in the nodules. These results excluded the rheumatoid arthritis and gout.
A pair of gout-like hands.