Palisaded neutrophilic and granulomatous dermatitis following a long-standing monoclonal gammopathy: A case report

Palisaded neutrophilic and granulomatous dermatitis following a long-standing monoclonal gammopathy: A case report

Blog Article

Background: Palisaded neutrophilic granulomatous dermatitis is a rare inflammatory dermatosis with possible underlying systemic conditions including rheumatoid arthritis, autoimmune connective tissue disease, and malignancies.Case Summary: We report a case of an 84-year-old man presenting with a 3-week eruption of asymptomatic annular plaques ANALGESIC GEL ROLL on his neck, which progressed to involve his back and legs.Skin biopsies confirmed a diagnosis of palisaded neutrophilic granulomatous dermatitis, and he was treated with prednisone.Full workup related to potential underlying causes of palisaded neutrophilic granulomatous dermatitis was completed.Conclusion: Palisaded neutrophilic granulomatous dermatitis may precede the onset of underlying systemic conditions or occur concomitantly.

Following the diagnosis, clinicians should perform a comprehensive focused history, physical examination, and Zero Wall Recliner laboratory investigation related to the associated underlying diseases.