Late‐stage nodular erythema elevatum diutinum mimicking sclerotic fibroma. (22nd November 2017)

• Record Type: Journal Article
• Authors: Shi, Kevin Y.; Vandergriff, Travis
• Is Part Of: Journal of cutaneous pathology. Volume 45:Number 1(2018)
• Page Start: 94
• Page End: 96
• Publication Date: 2017-11-22
• Subjects: erythema elevatum diutinum -- histopathologic mimicry -- sclerotic fibroma -- cutaneous vasculitis; Skin -- Diseases -- Periodicals; Dermatology -- Periodicals; 616
• DOI: 10.1111/cup.13066
• Languages: English
• ISSNs: 0303-6987

Abstract

Abstract : Erythema elevatum diutinum (EED) is a rare, cutaneous vasculitis of uncertain origin. EED can present clinically as chronic bilateral, symmetrical, periarticular papules, plaques and nodules. We report here an unusual case of EED presenting as multiple, densely fibrosing nodules on the feet of a 60‐year‐old human immunodeficiency virus positive woman. The initial evaluation of the patient was complicated by the strong histologic resemblance of multiple lesions to sclerotic fibroma, a cutaneous manifestation of Cowden disease. Our case highlights the important features that distinguish these 2 pathologic entities.