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  • Title: Superficial ulcerating rheumatoid necrobiosis: a perforating rheumatoid nodule.
    Author: Patterson JW, Demos PT.
    Journal: Cutis; 1985 Oct; 36(4):323-5, 328. PubMed ID: 4064755.
    Abstract:
    We report a case of superficial ulcerating rheumatoid necrobiosis (SURN), which is a recently described cutaneous manifestation of severe rheumatoid arthritis. As with classic rheumatoid nodule, there is evidence that this lesion may result from a vasculitis. SURN appears to represent a form of "perforating" rheumatoid nodule, and completes a triad of major necrobiotic processes (granuloma annulare, necrobiosis lipoidica, rheumatoid nodule) that have been reported to show epidermal perforation.
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