Late-stage nodular erythema elevatum diutinum mimicking sclerotic fibroma

Kevin Y. Shi, Travis Vandergriff

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Erythema elevatum diutinum (EED) is a rare, cutaneous vasculitis of uncertain origin. EED can present clinically as chronic bilateral, symmetrical, periarticular papules, plaques and nodules. We report here an unusual case of EED presenting as multiple, densely fibrosing nodules on the feet of a 60-year-old human immunodeficiency virus positive woman. The initial evaluation of the patient was complicated by the strong histologic resemblance of multiple lesions to sclerotic fibroma, a cutaneous manifestation of Cowden disease. Our case highlights the important features that distinguish these 2 pathologic entities.

Original languageEnglish (US)
Pages (from-to)94-96
Number of pages3
JournalJournal of Cutaneous Pathology
Issue number1
StatePublished - Jan 1 2018


  • cutaneous vasculitis
  • erythema elevatum diutinum
  • histopathologic mimicry
  • sclerotic fibroma

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology
  • Dermatology


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