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A case of erythema elevatum diutinum in the patient with systemic lupus erythematosus
( Young Min Cho ) , ( Hyun Yi Lee ) , ( Yu Jin Jeon ) , ( Dae Young Oh ) , ( Joong Sun Lee ) , ( Dae Won Koo ) , ( Kyung Eun Jung )
UCI I410-ECN-0102-2018-500-004085823
This article is 4 pages or less.

Erythema elevatum diutinum (EED) is a rare type of leukocytoclastic vasculitis characterized by red, purple, brown, or yellow papules, plaques, or nodules. These lesions are usually distributed on the extensor surfaces of the body. Men with EED are usually older (Hutchinson type), and women are usually younger (Bury type). Briefly, the Bury type consists of confluent nodules, which occurred over the joint of young females, while the Hutchinson type occurred in elderly males and had no predilection for the joints. The cause of EED has not yet been definitively established. Disorders that have been associated with EED include recurrent bacterial infections, viral infections and rheumatologic disease (in the Bury type). A 17-year-old girl presented with mild pruritic erythematous to skin colored multiple papules on the extensor surface of both extremities 3 days ago. She was diagnosed with Systemic Lupus Erythematosus three years ago and was on medication at rheumatology. Histopathologic exam showed vessel wall thickening, perivascular leukocytoclasis in dermis without abnormal finding in epidermis. The patient was diagnosed with EED and skin lesion improved after topical and systemic steroid treatment. We repot this case because it is rare and the patient's age, clinical features, and underlying disease were very typical, so it was considered appropriate for educational purposes.

[자료제공 : 네이버학술정보]
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