Back issues No.2 - 2003 / Case Report  

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Erythema Elevatum Diutinum Associated with Lymphoepithelioma-like Carcinoma of the Lung
I-Shu Chen , J. Yu-Yun Lee
Dermatol Sinica 21 : 153-159, 2003

Erythema elevatum diutinum(EED) is an uncommon form of protracted leukocytoclastic vasculitis, characterized by chronic, violaceous papules, plaques and nodules that are typically distributed over extensor surfaces of the hands and elbows. EED has been associated with rheumatoid arthritis, ulcerative colitis, Crohn’s disease, myeloma, myelodysplastic syndrome, viral hepatitis or streptococcal infection and HIV. We present a case of EED with concurrent lymphoepithelioma-like carcinoma of the lung in a 47-year-old women. The patient had noted multiple asymptomatic, erythematous to violaceous papules and plaques on the dorsum of her hands. Histologically, leukocytoclastic vasculitis was found. After receiving the chemotherapy for the lung tumor, the EED lesions subsided.

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