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A. J. G. McDonagh, MRCP; G. B. Colver, DM

Arch Dermatol. 1993;129(8):1045-1046.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 59-year-old white man was referred with a 3-year history of purplish nodules that started on the elbows and spread to the knees, ankles, and fingers. Ill-defined violaceous plaques were present on the abdomen and upper thighs. One month before referral, some lesions had become painful and ulcerated (Figure 1), and some digital lesions had fissured (Figure 2). He had taken ibuprofen and allopurinol for chronic gout for 5 years. The physical examination was unremarkable. Laboratory investigations including complete blood cell count, hepatic and renal function studies, serum uric acid, and rheumatoid factor revealed normal or negative results. The chest roentgenogram was also normal. An incisional biopsy specimen of an early lesion was obtained (Figures 3 and 4).

What is your diagnosis?

DIAGNOSIS:

Erythema elevatum diutinum (EED).

HISTOPATHOLOGIC FINDINGS AND CLINICAL COURSE

The skin biopsy specimen taken from . . . [Full Text PDF of this Article]

Author Affiliations
Royal Hallamshire Hospital, Sheffield, England, and Chesterfield and North Derbyshire Royal Hospital, Chesterfield, England

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