A Case of Palisaded Neutrophilic and Granulomatous Dermatitis Associated with an Initial Presentation in Ankylosing Spondylitis

Suh, Young Sun; Jung, Eui Chang; Moon, Yun Sun; Lee, Seung-Geun; Kim, Hyun-Ok

Ann Dermatol. 2023 May;35(Suppl1):S34-S37. 10.5021/ad.21.063.

A Case of Palisaded Neutrophilic and Granulomatous Dermatitis Associated with an Initial Presentation in Ankylosing Spondylitis

Affiliations

¹Division of Rheumatology, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Jinju, Korea
²Department of Dermatology, Gyeongsang National University Changwon Hospital, Changwon, Korea
³Division of Rheumatology, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicne, Busan, Korea

KMID: 2542714
DOI: http://doi.org/10.5021/ad.21.063

Abstract

Palisaded neutrophilic and granulomatous dermatitis (PNGD) is an inflammatory dermatosis associated with systemic immune-mediated diseases such as rheumatoid arthritis, systemic sclerosis, lupus erythematosus, and ulcerative colitis. Histologically, serial development of leukocytoclastic vasculitis is shown from an early stage, which can progress to palisading granuloma in the fully developed stage and to fibrosis in the final stage. A 32-yearold man presented with ankylosing spondylitis showing multiple erythematous papules on his fingers, elbows, knees, and left auricle. Histologic examination from his skin lesion revealed a perforating palisading granuloma with leukocytoclastic vasculitis, which was consistent with PNGD. Therefore, this study reported a case of PNGD accompanied by ankylosing spondylitis as an initial presentation.

Keyword

Ankylosing; Spondylitis

A Case of Palisaded Neutrophilic and Granulomatous Dermatitis Associated with an Initial Presentation in Ankylosing Spondylitis

Abstract

Keyword

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