Palisaded neutrophilic granulomatous dermatitis presenting as an unusual skin manifestation in a patient with Behçet's disease.
A 32-year-old Korean woman with painful oral ulcers and a sore throat presented with multiple erythematosus papules on both legs. Histological examination of the papular lesions on the legs demonstrated palisaded granuloma with degeneration of collagen fibres in the dermis, compatible with palisaded neutrophilic granulomatous dermatitis (PNGD). This condition is known to be an unusual disease entity associated with various systemic autoimmune diseases, such as rheumatoid arthritis, systemic lupus erythematosus, other connective tissue diseases, and systemic vasculitis. To our knowledge a case with typical Behçet's disease coinciding with PNGD among systemic autoimmune diseases has not been described before.
Kim
S-K
SK
Department of Internal Medicine, Division of Rheumatology, The Hospital for Rheumatic Diseases, The Hospital for Rheumatic Diseases, Hanyang University, Seoul 133-792, Korea.
Park
C-K
CK
Park
Y-W
YW
Jun
J-B
JB
Yoo
D-H
DH
Bae
S-C
SC
D000328:Adult; D001528:Behcet Syndrome / Q000150:complications / Q000175:diagnosis*; D001707:Biopsy, Needle; D003872:Dermatitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D005500:Follow-Up Studies; D006099:Granuloma / Q000209:etiology*; D006801:Humans; D007150:Immunohistochemistry; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008775:Methylprednisolone / Q000627:therapeutic use; D020556:Neutrophil Infiltration; D019226:Oral Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D012883:Skin Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D016896:Treatment Outcome
D007166:Immunosuppressive Agents; D008775:Methylprednisolone