Case Report of Rheumatoid Vacuities Leading to Recurrent Sloughing Ulcer of Skin

A lady aged 50 yrs presented with multiple small and large joint pain with severe body ache. She also gave history of recurrent skin ulcers which is very deep almost extending to the bone. The ulcers heal with scarring by the standard treatment of Rheumatoid Arthritis and Steroid. One may misinterpret the diagnosis of rheumatoid vasculities presenting as sloughing ulcers as a secondary bacterial infection of skin as the patient may be associated with immunosuppression.