China Journal of Leprosy and Skin Diseases ›› 2019, Vol. 35 ›› Issue (12): 735-737.doi: 10.12144/zgmfskin201912735

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Dapsone monotherapy in the treatment of erythema elevatum diutinum: a case report and literature review

ZHANG Hao1,2, BAO Fangfang2,3, ZHOU Guizhi2,3, LIU Hong2,3, ZHANG Furen2,3   

  1. 1. Binzhou Medical University, YanTai 264003, China; 
    2. Skin Diseases Hospital Affiliated to Shandong First Medical University (Shandong Provinical Hospital for Skin Diseases), Jinan 250022, China; 
    3. Shandong Provincial Institute of Dermatology and Venereology, Jinan 250022, China
  • Online:2019-12-15 Published:2019-12-25
  • Contact: ZHANG Furen, E-mail:zhangfuren@hotmail.com

Abstract: A case of erythema elevatum diutinum treated with dapsone monotherapy was reported and the related literature was reviewed. An 80-year-old female presented with reddish-brown patches on the palms, buttocks, lower extremities and plantar for half a year. Histopathological examination showed hyperkeratosis, dyskeratosis, mild acanthosis, fibrin-like degeneration of vascular wall in the superficial and middle dermis, mild infiltration of neutrophils around blood vessels, infiltration of lymphocytes and basophilic degeneration of local collagen fibers. The diagnosis of erythema elevatum diutinum was made. The patient was treated with oral dapsone 100 mg, once a day and the skin lesions were significantly improved after 3 months of follow-up. 

Key words: erythema elevatum diutinum, dapsone