Korean J Dermatol.  2007 Aug;45(8):847-850.

A Case of Palisaded Neutrophilic and Granulomatous Dermatitis (Rheumatoid Papule)

Affiliations
  • 1Department of Dermatology, The Catholic University of Daegu School of Medicine, Korea. g9563009@cu.ac.kr
  • 2Gounmi Aesthetic Clinic, Daegu, Korea.

Abstract

Palisaded neutrophilic and granulomatous dermatitis is a newly described disease associated with connective tissue disorders, such as rheumatoid arthritis or lupus erythematousus. Cases associated with rheumatoid arthritis are also termed rheumatoid papules. We report a 27-year-old woman who presented with two erythematous, tender papules on her left elbow. She had rheumatoid arthritis and was being treated with an oral steroid, methotrexate and nonsteroidal antiinflammatory drugs. Histopathologic examination showed degenerative collagen with basophilic fibrinoid materials and neutrophils surrounded by palisaded epithelioid cells in the upper dermis.

Keyword

Palisaded neutrophilic and granulmatous dermatitis; Rheumatoid papule

MeSH Terms

Adult
Arthritis, Rheumatoid
Basophils
Collagen
Connective Tissue
Dermatitis*
Dermis
Elbow
Epithelioid Cells
Female
Humans
Methotrexate
Neutrophils*
Collagen
Methotrexate
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