Palisaded neutrophilic granulomatous dermatitis without a definable underlying disorder treated with dapsone

Abstract

To the Editor: Palisaded neutrophilic granulomatous dermatitis (PNGD) is a rare neutrophilic dermatosis that characteristically presents in patients with a definable underlying connective tissue disease, vasculitis, or malignancy.1 We present a case of PNGD in a patient with no definable autoimmune disorder or malignancy, whose cutaneous manifestations, fevers, and joint symptoms responded well to dapsone.