Gray LOR, Abreu DA, Figueredo BME, de la Rosa FIM, Rosales M, Mantilla MLY

Language: Spanish
References: 8
Page: 1-8
PDF size: 542.73 Kb.

ABSTRACT

Erythema elevatum diutinum is an unusual, chronic, leukocytoclastic vasculitis of unknown etiology. Clinically it is manifested by papules, plaques and erythematous-violaceous nodules, of hard consistency, symmetrical and usually located on the extensor surfaces of the extremities, close to the joints. Diagnosis is based on clinical and histopathologic findings. We report a case of a 49-year-old woman, black skin color, with erythematous-violaceous nodules on the dorsum of the hands, elbows, forearms, knees and buttocks for approximately three and a half years. Histopathological study revealed a leukocytoclastic vasculitis confirming the clinical suspicion of erythema elevatum diutinum. The case is presented due to the rarity of this entity in our environment.

REFERENCES

1. Vide J, Brás G, Guimarães JE, Mota A. Pyoderma gangrenosum and erythema elevatum diutinum associated with a high-riskmyelodysplastic syndrome: case report. Centro Hospitalar de São João, Portugal. Hematol transfus cell ther. 2018;30(20):30-5.

2. Bolognia JL, Schaffer JV, Cerroni L. Dermatology. 4th ed. Section 17. Chapter 106; 2018. p. 1847-50.

3. 3.Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. Fitzpatrick’s Dermatology in General Medicine. 8th ed. 2012;165:2029-32.

4. Wolff K, Jhonson RA, Saavedra AP, Roh EK. Fitzpatrick's color atlas and synopsis of clinical dermatology. 8th ed. 2017;7:115-8.

5. Callen JP, Jorizzo JL, Zone JJ, Dermatological Signs of systemic disease. 5th ed. 2017. Chapter 4. p. 35-7.

6. Arenas Guzmán R. Atlas, diagnóstico y tratamiento. 6 ed. México: Mc Graw Hill education; 2015.

7. Camargo D, López Ferraz EB, Chaib JJ, Lanzoni de Alvarenga LM, Mandelbaum SH. Erythema elevatum diutinum and hypothyroidism: coincidence or causal relationship? Ann Bras Dermatol. 2015;90(4):561-3

8. Gonçalves MJ, Romão VC, Soares de Almeida l, Canhão H, Romeu JC, Kutzner H, et al. Erythema elevatum diutinum in Crohn’s disease-associated spondyloarthritis – a rare vasculitis, an unusual association. Acta reumatol port. 2017;42:3248.