Erythema Elevatum Diutinum with Various Clinicohistological Stages / 대한피부과학회지
Korean Journal of Dermatology
; : 387-390, 2019.
Article
em Ko
| WPRIM
| ID: wpr-759766
Biblioteca responsável:
WPRO
ABSTRACT
A 61-year-old man presented with a 3-year history of erythematous firm nodules on the hands and feet. Histopathological findings of the lesional skin revealed perivascular and diffuse neutrophilic infiltrations on the upper and mid-dermis. Increased and dilated blood vessels were observed in the upper dermis. Fibrinoid necrosis of the vessel walls was unremarkable, but endothelial swelling and scant red blood cell (RBC) extravasation were noted. Fibrosis and sclerosis of collagen fibers were noted on the deep dermis. Results of laboratory examinations, including complete blood count (CBC), routine chemistry, c-reactive protein (CRP), syphilis and human immunodeficiency virus (HIV) tests, and serum immunoglobulin electrophoresis, were all negative or within normal limit. A diagnosis of erythema elevatum diutinum was made based on the clinical and histological findings. The patient was treated with prednisolone, dapsone, colchicine, and intralesional injection of triamcinolone and showed slight improvement after treatment for 8 months.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Esclerose
/
Pele
/
Contagem de Células Sanguíneas
/
Vasos Sanguíneos
/
Fibrose
/
Proteína C-Reativa
/
Imunoglobulinas
/
Prednisolona
/
Triancinolona
/
Sífilis
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Dermatology
Ano de publicação:
2019
Tipo de documento:
Article