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May 1978

Erythema Elevatum Diutinum

Author Affiliations

Brooklyn, NY

Arch Dermatol. 1978;114(5):802-803. doi:10.1001/archderm.1978.01640170096042

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To the Editor.—  The case of erythema elevatum diutinum that responded to dapsone, which was reported by Fort and Rodman (Archives 113:819-822, 1977) prompts us to report another case, in which lesions of erythema elevatum diutinum were responsive to dapsone and coexisted with other vasculitic lesions that did not respond to dapsone but responded to prednisone.

Report of a Case.—  A 65-year-old man was admitted to the Brooklyn (NY) Veterans Administration Hospital in 1975. He was well until ten months prior to this admission, when he developed rheumatoid arthritis.Fig 1.—Erythema elevatum diutinum lesions on arms.Fig 2.—Erythema elevatum diutinum lesions on palms.Fig 3.—Lesions of vasculitis on legs.One month later, erythematous, infiltrated plaques and nodules developed over the extensor surfaces of the patient's arms, and small petechiae appeared on his anterior legs. The plaques were asymptomatic and increased in size during the next nine months. Ulcers developed on

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