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Rheumatoid Neutrophilic Dermatitis

Rheumatoid Neutrophilic Dermatitis Abstract • We recently examined a patient with severe rheumatoid arthritis who presented clinically with fixed urticarialike plaques. Histologic examination revealed a dense neutrophilic dermal infiltrate without associated vasculitis. On clinical and histologic grounds, this case differs from other noninfectious neutrophilic inflammatory disorders. We present a case of rheumatoid neutrophilic dermatitis and review the salient features of this unique disorder. (Arch Dermatol. 1989;125:1105-1108) References 1. McAvoy B, Whaley K, Nuki G, Dick WC, Downie WW. Liver palms in rheumatoid arthritis . Ann Rheum Dis. 1969;28:602-606.Crossref 2. Fitzpatrick T, Eisen A, Wolff D, Freedberg IM, Austen KF, eds. Dermatology in General Medicine . 3rd ed. New York, NY; McGraw-Hill International Book Co; 1987:1866-1868. 3. Stolman LP. Pyoderma gangrenosum and rheumatoid arthritis . Arch Dermatol. 1975;111:1020-1023.Crossref 4. Ackerman AB. Histologic Diagnosis of Inflammatory Skin Diseases . Philadelphia, Pa: Lea & Febiger; 1978:449-451. 5. Winkelmann RK, Wilson-Jones E, Smith NP, English JS, Greaves MW. Neutrophilic urticaria . Acta Derm Venereol (Stockh) . 1988;68:129-133. 6. Peters MS, Winkelmann RK. Neutrophilic urticaria . Br J Dermatol. 1985;113:25-30.Crossref 7. Isdale IC, Bywaters EGL. The rash of rheumatoid arthritis and Still's disease . Q J Med. 1956;25:377-387. 8. Lever W, Schaumburg-Lever G. Histopathology of the Skin . 6th ed. Philadelphia, Pa: JB Lippincott Co; 1983:176-177. 9. Katz SI, Gallin JI, Hertz KC, Fauci AS, Lawley TJ. Erythema elevatum diutinum: skin and systemic manifestations, immunologic studies and successful treatment with dapsone . Medicine (Baltimore). 1977;56:443-455.Crossref 10. Sanchez NP, Winkelmann RK, Schroeter AL, Dicken CH. The clinical and histopathologic spectrum of urticarial vasculitis . J Am Acad Dermatol. 1982;7:599-605.Crossref 11. Bisaccia E, Adumo V, Rozan S. Urticarial vasculitis progressing to systemic lupus erythematosus . Arch Dermatol. 1988;124:1088-1090.Crossref 12. Cohen PR, Kurzrock R. Sweet's syndrome and malignancy . Am J Med. 1987;82:1220-1226.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1989.01670200081014
Publisher site
See Article on Publisher Site

Abstract

Abstract • We recently examined a patient with severe rheumatoid arthritis who presented clinically with fixed urticarialike plaques. Histologic examination revealed a dense neutrophilic dermal infiltrate without associated vasculitis. On clinical and histologic grounds, this case differs from other noninfectious neutrophilic inflammatory disorders. We present a case of rheumatoid neutrophilic dermatitis and review the salient features of this unique disorder. (Arch Dermatol. 1989;125:1105-1108) References 1. McAvoy B, Whaley K, Nuki G, Dick WC, Downie WW. Liver palms in rheumatoid arthritis . Ann Rheum Dis. 1969;28:602-606.Crossref 2. Fitzpatrick T, Eisen A, Wolff D, Freedberg IM, Austen KF, eds. Dermatology in General Medicine . 3rd ed. New York, NY; McGraw-Hill International Book Co; 1987:1866-1868. 3. Stolman LP. Pyoderma gangrenosum and rheumatoid arthritis . Arch Dermatol. 1975;111:1020-1023.Crossref 4. Ackerman AB. Histologic Diagnosis of Inflammatory Skin Diseases . Philadelphia, Pa: Lea & Febiger; 1978:449-451. 5. Winkelmann RK, Wilson-Jones E, Smith NP, English JS, Greaves MW. Neutrophilic urticaria . Acta Derm Venereol (Stockh) . 1988;68:129-133. 6. Peters MS, Winkelmann RK. Neutrophilic urticaria . Br J Dermatol. 1985;113:25-30.Crossref 7. Isdale IC, Bywaters EGL. The rash of rheumatoid arthritis and Still's disease . Q J Med. 1956;25:377-387. 8. Lever W, Schaumburg-Lever G. Histopathology of the Skin . 6th ed. Philadelphia, Pa: JB Lippincott Co; 1983:176-177. 9. Katz SI, Gallin JI, Hertz KC, Fauci AS, Lawley TJ. Erythema elevatum diutinum: skin and systemic manifestations, immunologic studies and successful treatment with dapsone . Medicine (Baltimore). 1977;56:443-455.Crossref 10. Sanchez NP, Winkelmann RK, Schroeter AL, Dicken CH. The clinical and histopathologic spectrum of urticarial vasculitis . J Am Acad Dermatol. 1982;7:599-605.Crossref 11. Bisaccia E, Adumo V, Rozan S. Urticarial vasculitis progressing to systemic lupus erythematosus . Arch Dermatol. 1988;124:1088-1090.Crossref 12. Cohen PR, Kurzrock R. Sweet's syndrome and malignancy . Am J Med. 1987;82:1220-1226.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Aug 1, 1989

References