Rare presentation of erythema elevatum diutinum

Erythema elevatum diutinum (EED) is a rare, chronic, and progressive skin condition, classified within the neutrophilic vasculitides. It presents as erythematous and violaceus papules and plaques. The distribution tends to be bilateral and symmetrical, overlying joints and localized on extensor surfaces. EED generally affects middle-age patients. Although its cause is yet unknown, it can be associated with other underlying autoimmune, infectious, or malignant diseases. Dapsone is used as a first-line therapeutic agent.