Abstract
Erythema elevatum diutinum can be thought of as a rare presentation of chronic cutaneous vasculitis. Although the exact pathogenesis is unknown, it has been associated with a wide range of clinical illnesses including IgA monoclonal gammopathy, myelodysplastic syndrome, rheumatoid arthritis, inflammatory bowel disease, streptococcal infection, and HIV. Lesions typically present as asymptomatic, red-brown papules and nodules symmetrically distributed with a predilection for skin overlying joints, buttocks, and the Achilles tendon. Dapsone is considered first-line treatment.
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Acknowledgements
We thank Omar Sangueza, MD, Professor of Pathology and Dermatology, Wake Forest University School of Medicine for photographs and histology.
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Tran, A.N., Jorizzo, J.L. (2018). Erythema Elevatum Diutinum. In: Wallach, D., Vignon-Pennamen, MD., Valerio Marzano, A. (eds) Neutrophilic Dermatoses. Springer, Cham. https://doi.org/10.1007/978-3-319-72649-6_4
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