Erythema elevatum diutinum with various clinicohistological stages

Mi Yeon Cho, Jong Hoon Kim, You Chan Kim, Soo Chan Kim

Research output: Contribution to journalArticle

Abstract

A 61-year-old man presented with a 3-year history of erythematous firm nodules on the hands and feet. Histopathological findings of the lesional skin revealed perivascular and diffuse neutrophilic infiltrations on the upper and mid-dermis. Increased and dilated blood vessels were observed in the upper dermis. Fibrinoid necrosis of the vessel walls was unremarkable, but endothelial swelling and scant red blood cell (RBC) extravasation were noted. Fibrosis and sclerosis of collagen fibers were noted on the deep dermis. Results of laboratory examinations, including complete blood count (CBC), routine chemistry, c-reactive protein (CRP), syphilis and human immunodeficiency virus (HIV) tests, and serum immunoglobulin electrophoresis, were all negative or within normal limit. A diagnosis of erythema elevatum diutinum was made based on the clinical and histological findings. The patient was treated with prednisolone, dapsone, colchicine, and intralesional injection of triamcinolone and showed slight improvement after treatment for 8 months. (Korean J Dermatol 2019;57(7):387~ 390).

Original languageEnglish
Pages (from-to)387-390
Number of pages4
JournalKorean Journal of Dermatology
Volume57
Issue number7
Publication statusPublished - 2019 Aug

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Dermis
Intralesional Injections
Human Immunodeficiency Virus Proteins
Triamcinolone
Dapsone
Blood Cell Count
Colchicine
Sclerosis
Syphilis
Prednisolone
Blood Vessels
Electrophoresis
Immunoglobulins
Foot
Fibrosis
Necrosis
Collagen
Hand
Erythrocytes
Skin

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

Cho, Mi Yeon ; Kim, Jong Hoon ; Kim, You Chan ; Kim, Soo Chan. / Erythema elevatum diutinum with various clinicohistological stages. In: Korean Journal of Dermatology. 2019 ; Vol. 57, No. 7. pp. 387-390.
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Erythema elevatum diutinum with various clinicohistological stages. / Cho, Mi Yeon; Kim, Jong Hoon; Kim, You Chan; Kim, Soo Chan.

In: Korean Journal of Dermatology, Vol. 57, No. 7, 08.2019, p. 387-390.

Research output: Contribution to journalArticle

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