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Polyarteritis nodosa (PAN) is a medium vessel vasculitis. Men tend to be more frequently affected than women (4:1). All ages can be affected but most commonly patients present as middle-aged adults. Patients can present with isolated cutaneous disease or disease with systemic symptoms – called classic PAN. Cutaneous disease tends to have a more benign, though persistent, course. It affects approximately 10% of patients. Progression from cutaneous PAN to classic PAN is uncommon. Pediatric patients tend to present with cutaneous PAN [1, 2].