Erythema elevatum diutinum - Case report of a rare entity

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Case Report

Author Details : Pooja Desai, Krina Bharat Patel*, Vernon James, Palak Makwana, Aanal Patel

Volume : 8, Issue : 1, Year : 2022

Article Page : 61-63

https://doi.org/10.18231/j.ijced.2022.014

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Abstract

Erythema elevatum diutinum (EED) is a rare entity of chronic cutaneous vasculitis occurring in association with a variety of conditions including autoimmunity, infectious disease, and hematological abnormalities. The exact pathogenesis of EED is unknown. A 59-year old female presented with multiple, itchy, eczematized erythematous papules and plaques over both upper and lower limbs present since 5 months. Histopathological changes were consistent with EED. Patient was started on oral Dapsone 100mg bid along with topical betamethasone diproprionate cream. Within 6 weeks lesions regressed completely leaving post-inflammatory hyperpigmentation. Dapsone was stopped at the end of 3 months. Minor recurrences are managed by topical steroids.
Key Messages: EED is a rare form of vasculitis which is difficult to diagnose clinically, histopathology can be diagnostic. Dapsone is the treatment of choice.
 

Keywords: Erythema elevatum diutinum, Vasculitis, Dapsone

How to cite : Desai P, Patel K B, James V, Makwana P, Patel A, Erythema elevatum diutinum - Case report of a rare entity. IP Indian J Clin Exp Dermatol 2022;8(1):61-63

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