An 8-year-old girl presented with recurrent redness. warming. and pain of the lower extremities for more than 4 years. with exacerbation and accompanying swelling for the past 1 year and ulcers for 1 month. https://www.roneverhart.com/Clos-Pegase-Cabernet-Sauvignon-Hommage-Tenma-Vineyard-Napa-Valley-2014/