Erythematous Papules and Patches on the Hands

A 29-year-old pregnant woman presented with itchy erythematous lesions, fixed at the hands, bilaterally and symmetrically, without other systemic signs or previous infection. The initial clinical examination revealed the presence of erythematous papules and patches. Erythema elevatum diutinum is a rare chronic form of cutaneous vasculitis. It is generally associated with autoimmune, neoplastic, hematological and infectious processes. Its association with pregnancy is very rare.