European Journal of Rheumatology
Case Report

Erythema elevatum diutinum coexisting with ankylosing spondylitis

1.

Department of Rheumatology, Çukurova University Faculty of Medicine, Adana, Turkey

2.

Department of Dermatology, Sütcü İmam University Faculty of Medicine, Kahramanmaraş, Turkey

3.

Department of Pathology, Çukurova University Faculty of Medicine, Adana, Turkey

Eur J Rheumatol 2015; 2: 73-75
DOI: 10.5152/eurjrheum.2015.0073
Read: 596 Downloads: 38 Published: 03 September 2019

Abstract

A 43-year-old woman presented to our hospital with the complaint of a reddish-purple rash on the extensor sides of her forearms. She had been diagnosed with ankylosing spondylitis 7 years ago. On physical examination, reddish-purple nodules were detected on the pretibial areas of both legs and extensor sides of both hands and forearms. Neutrophil, eosinophil, lymphocyte, and mixed-type leukocyte infiltration and erythrocyte extravasation were observed in skin biopsy. Erythema elevatum diutinum (EED) was diagnosed. For treatment, sulphasalazine, colchicine, and diclofenac were started. After 3 months of treatment, the lesions were healed. To the best of our knowledge, this is the first report of EED coexisting with ankylosing spondylitis.

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ISSN2147-9720 EISSN 2148-4279