Details of rheumatology consult clinical reasoning
| Clinical feature | Possible rheumatologic etiology | Evidence against rheumatologic etiology |
|---|---|---|
| Overall presentation | Lupus erythematosus, systemic sclerosis, other antinuclear antibody spectrum disorders | No inflammatory joint pain, arthritis, serositis, mucositis, or renal involvement No family history of autoimmune disease |
| Foot ulceration | Raynaud phenomenon | Proximal ulcerations with preserved distal sensation |
| Rash | Vasculitis | Rash not characteristic of vasculitic etiology, no obvious thickening of large vessels |