Asymptomatic Papulonodules on Elbows and Hands: A Rare Chronic Fibrosing Leukocytoclastic Vasculitis

One of the pathogenic causes of cutaneous inflammatory pseudotumors is chronic localized fibrosing leukocytoclastic vasculitis (CLFLCV), seen in Granuloma Faciale (GF) and Erythema Elevatum Diutinum (EED). EED is a rare type of leukocytoclastic vasculitis, most commonly effecting young and middle age groups. EED is thought to be an Arthus type reaction with immune complex deposition secondary to a number of infections, autoimmune diseases, both benign and malignant haematological disorders. This is a rare, chronic, cutaneous eruption characterized by red, purple or yellowish papules, plaques and nodules distributed acrally and symmetrically over extensor surfaces. Here, we report a case of thirty-five year old male with EED.