Palisaded Neutrophilic Granulomatous Dermatitis, Bowel-Associated Dermatosis-Arthritis Syndrome, and Rheumatoid Neutrophilic Dermatitis

Dermatol Clin. 2024 Apr;42(2):297-305. doi: 10.1016/j.det.2023.08.008. Epub 2023 Sep 9.

Abstract

Neutrophilic dermatosis is a heterogeneous group of inflammatory skin diseases characterized by the presence of a sterile neutrophilic infiltrate on histopathology. Three specific types of neutrophilic dermatoses are reviewed in this article: palisaded neutrophilic granulomatous dermatitis, bowel-associated dermatosis-arthritis syndrome, and rheumatoid neutrophilic dermatitis. The authors review the literature and highlight the clinical and histopathological features, disease pathogenesis, and the association of these conditions with various systemic diseases such as rheumatoid arthritis, inflammatory bowel disease, and others. A multidisciplinary approach is necessary for the diagnosis and management of these inflammatory skin conditions.

Keywords: Bowel-associated dermatosis–arthritis syndrome; Neutrophilic disorder; Palisaded neutrophilic granulomatous dermatitis; Reactive granulomatous disorder; Rheumatoid neutrophilic dermatitis.

Publication types

  • Review

MeSH terms

  • Arthritis, Rheumatoid* / complications
  • Arthritis, Rheumatoid* / pathology
  • Dermatitis* / complications
  • Dermatitis* / etiology
  • Humans
  • Inflammatory Bowel Diseases* / complications
  • Neutrophils / pathology
  • Skin Diseases* / diagnosis