Erythema elevatum diutinum

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Synonym(s)

Extracellular cholesterosis

Definition

Leukocytoclastic vasculitis characterized by red, purple, brown, or yellow papules, plaques, or nodules

Pathogenesis

Possibly involves immune complex deposition with subsequent inflammatory cascade; associated with IgA monoclonal gam-mopathy, recurrent bacterial infections, (especially streptococcal), viral infections (including Hepatitis B or HIV), and rheu-matologic disease

Erythema induratum 219

Clinical manifestation

Red, violaceous, smooth, brown or yellow papules, plaques, or nodules over extensor surfaces, especially over the joints; occasional crusting or bleeding

Differential diagnosis

Acute bebrile neutrophilic dermatosis; granuloma annulare; insect bite reaction; sarcoidosis; rheumatoid nodules; gouty tophi; multicentric reticulohistiocytosis; xanthomas; erythema multiforme

Therapy

Dapsone*

References

Gibson LE, el-Azhary RA (2000) Erythema eleva-tum diutinum. Clinics in Dermatology i8(3):295-299

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How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

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