Reply

Abstract

To the Editor:We were pleased to read the report of Gilaberte et al of a new case of neutrophilic dermatosis of the dorsal hands (NDDH). The authors highlight important points mentioned in our article. We acknowledge that cases of NDDH may demonstrate evidence of vascular disruption and occasional perivascular fibrin deposition. Such findings can occur in various forms of neutrophilic dermatoses, including Sweet's syndrome,1Jordaan HF. Acute neutrophilic dermatosis: a histopathologic study of 37 patients and a review of the literature.Am J Dermatopathol. 1989; 11: 99-111Crossref PubMed Scopus (148) Google Scholar yet primary necrotizing vasculitis is lacking. In addition, the patient of Gilaberte et al highlights other clinical findings we believe are characteristic of NDDH. These include a lack of systemic symptoms, the presence of recurrent lesions, and, in the cases reported to date, the lack of associated myeloproliferative disease or inflammatory bowel disease. In summary, we believe that the term neutrophilic dermatosis of the dorsal hands de-emphasizes the element of vasculitis and underscores the unique and consistent clinical presentation. To the Editor:We were pleased to read the report of Gilaberte et al of a new case of neutrophilic dermatosis of the dorsal hands (NDDH). The authors highlight important points mentioned in our article. We acknowledge that cases of NDDH may demonstrate evidence of vascular disruption and occasional perivascular fibrin deposition. Such findings can occur in various forms of neutrophilic dermatoses, including Sweet's syndrome,1Jordaan HF. Acute neutrophilic dermatosis: a histopathologic study of 37 patients and a review of the literature.Am J Dermatopathol. 1989; 11: 99-111Crossref PubMed Scopus (148) Google Scholar yet primary necrotizing vasculitis is lacking. In addition, the patient of Gilaberte et al highlights other clinical findings we believe are characteristic of NDDH. These include a lack of systemic symptoms, the presence of recurrent lesions, and, in the cases reported to date, the lack of associated myeloproliferative disease or inflammatory bowel disease. In summary, we believe that the term neutrophilic dermatosis of the dorsal hands de-emphasizes the element of vasculitis and underscores the unique and consistent clinical presentation. We were pleased to read the report of Gilaberte et al of a new case of neutrophilic dermatosis of the dorsal hands (NDDH). The authors highlight important points mentioned in our article. We acknowledge that cases of NDDH may demonstrate evidence of vascular disruption and occasional perivascular fibrin deposition. Such findings can occur in various forms of neutrophilic dermatoses, including Sweet's syndrome,1Jordaan HF. Acute neutrophilic dermatosis: a histopathologic study of 37 patients and a review of the literature.Am J Dermatopathol. 1989; 11: 99-111Crossref PubMed Scopus (148) Google Scholar yet primary necrotizing vasculitis is lacking. In addition, the patient of Gilaberte et al highlights other clinical findings we believe are characteristic of NDDH. These include a lack of systemic symptoms, the presence of recurrent lesions, and, in the cases reported to date, the lack of associated myeloproliferative disease or inflammatory bowel disease. In summary, we believe that the term neutrophilic dermatosis of the dorsal hands de-emphasizes the element of vasculitis and underscores the unique and consistent clinical presentation.