3rd July 2023

A 54-year-old woman presents with violaceous papules on the flexor aspects of her wrist

A 54-year-old woman presents with violaceous papules on the flexor aspects of her wrist. She has not previously had this rash.

Given the likely diagnosis, what other feature is this patient most likely to have on examination?

Select the SINGLE most appropriate option from the list below. Select ONE option only.