Rare presentation of erythema elevatum diutinum

Large erythematous annular plaques on the trunk with painful palmoplantar nodules

“…EED has been associated with a variety of systemic disorders, including autoimmune, inflammatory, infectious and haematological diseases. EED manifesting as palmoplantar nodules has been reported in association with multiple myeloma, paraproteinaemias, HIV, and hepatitis B and C infections 2 . An annular plaque‐like morphology has been described in association with HIV and IgA gammopathy 3 .…”

“…palmoplantar nodules has been reported in association with multiple myeloma, paraproteinaemias, HIV, and hepatitis B and C infections. 2 An annular plaque-like morphology has been described in association with HIV and IgA gammopathy. 3 However, many cases do not have any systemic association.…”

Palmar nodules in a young woman with ulcerative colitis and enteropathic arthritis

“…Clinically, it consists of symmetrical erythematous to purple nodules and plaques with a predilection for the extensor surfaces overlying joints, particularly hands, feet, elbows, and knees. To date, palmar involvement has been reported only in a few patients 1–5 . Lesions are mostly asymptomatic, although some patients can experience pruritus, tenderness, and a burning sensation after the onset of new lesions 1 …”

Multiple nodules on the bilateral aspect of the upper extremities

“…This fibrosis may display a storiform or concentric appearance, and progression of the lesion is hypothesized to be due to continued foci of leukocytoclastic vasculitis. 3 , 4 Central zone of brightly eosinophilic fibrin surrounded by a palisaded layer of histiocytes and granulation tissue – Incorrect. This histology is characteristic of rheumatoid nodules.…”

“…This fibrosis may display a storiform or concentric appearance, and progression of the lesion is hypothesized to be due to continued foci of leukocytoclastic vasculitis. 3 , 4 …”