Erythema Elevatum diutinum in a pregnant female with coexisting hypothyroidism and rheumatoid arthritis

Erythema elevatum diutinum (EED) is a chronic and rare variant of leukocytoclastic vasculitis of unknown etiology that is being reported nowadays frequently. It clinically manifests as asymptomatic to tender erythematous papules, plaques and nodules, usually with acral distribution and is rarely accompanied by systemic complaints other than arthralgia. Here, we report a case of a 22 year old pregnant woman with a history of joint pain for 3 years, presenting with erythematous raised plaques on extensors. Histopathological analysis revealed leukocytoclastic vasculitis. Laboratory test revealed hypothyroidism. We report the case because of its rarity, with subsequent review of the literature.