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Image Number 227 (Erythema elevatum diutinum)

Nodule,skin coloured

Diagnosis: Erythema elevatum diutinum

Site: Hand,palm

Sex: M

Age: 60

Type: Clinical

Description: Fixed nodules on the palmar surface

Submitted by: Ian McColl

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Differential Diagnosis


Erythema elevatum diutinum is a rare condition characterised by skin coloured or yellow papules and nodules on the palms but also over joints on the elbows and knees.The lesions are usually asymptomatic.The condition has been associated with underlying disorders such as AIDs ,coeliac disease and Wegener's granulomatosis.Histology shows a florid leukocytoclastic vasculitis with chronic fibrosis.

The following Dermatology Journal Online article gives a good review of the condition.

Search DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Erythema elevatum diutinum"

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