Asymptomatic Papulonodules on Elbows and Hands: A Rare Chronic Fibrosing Leukocytoclastic Vasculitis

Garbham Sravani, B. Swetha, D. V. S. B. Ramamurthy

Abstract: One of the pathogenic causes of cutaneous inflammatory pseudotumors is chronic localized fibrosing leukocytoclastic vasculitis (CLFLCV), seen in Granuloma Faciale (GF) and Erythema Elevatum Diutinum (EED). EED is a rare type of leukocytoclastic vasculitis, most commonly effecting young and middle age groups. EED is thought to be an Arthus type reaction with immune complex deposition secondary to a number of infections, autoimmune diseases, both benign and malignant haematological disorders. This is a rare, chronic, cutaneous eruption characterized by red, purple or yellowish papules, plaques and nodules distributed acrally and symmetrically over extensor surfaces. Here, we report a case of thirty-five year old male with EED.

Keywords: Erythema elevatum diutinum, Leukocytoclastic vasculitis