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Observation
May 2018

Facial Neutrophilic Dermatosis Mimicking Iododerma and Associated With Inflammatory Bowel Disease

Author Affiliations
  • 1Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island
JAMA Dermatol. 2018;154(5):619-621. doi:10.1001/jamadermatol.2017.6060

We present an unusual case of inflammatory bowel disease (IBD)–associated neutrophilic dermatosis on the face with iododerma-like crusted pustular plaques, vegetative crusted plaques, and concurrent erythema nodosum.

A 55-year-old white woman with a history of diverticulosis and colonic polyps presented with new-onset flulike symptoms followed by low-grade fever, facial crusted plaques, and 4 weeks of bloody and watery diarrhea. Her facial lesions initially presented as ill-defined pink patches over her cheeks and red papules on her forehead; she was diagnosed with erythrotelangiectatic rosacea and treated with topical ivermectin cream.

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