Rheumatology case challenge: Part 1: Submit your responses

Question1: What is the likely diagnosis?

*This question is required.

Question 2: Does the patient need further investigations like skin biopsy, bone marrow examination, venous doppler, dsDNA, or any other investigation? *This question is required.

Question 3: How would you treat the patient- start DMARDs and corticosteroids, start DMARDs alone, start corticosteroids alone, use anti-histaminics, or any other treatment? *This question is required.