Abstract: Rheumatoid neutrophilic dermatitis is a specific skin manifestation of severe rheumatoid arthritis. We report a case and review the literature. A 60-year-old man presented with dark red papules and blisters on the trunk and limbs for one month. He had a 7-year-history of rheumatoid arthritis. The features of laboratory tests and histopathological examination were in accordance with rheumatoid neutrophilic dermatitis. The patient had been treated with immunosuppressant and glucocorticoid for rheumatoid arthritis, and this time dapsone alone was selected. The laboratory tests returned to normal and the lesions were basically subsided after treatment for 2 weeks.

Key words: rheumatoid neutrophilic dermatitis, dapsone