Erythema Elevatum Diutinum in an HIV-Positive Patient

A 53-year old man with HIV infection and hepatitis C infection presented with multiple, firm nodules on the hands and ankles. Erythema elevatum diutinum is a rare, chronic cutaneous vasculitis that may be associated with hematologic, autoimmune, and infectious diseases, which include HIV infection. First-line therapy includes dapsone, as well as treatment of any underlying cause or infection.