Pruritic, papular eruption, and concomitant neurologic symptoms: Churg-strauss syndrome presenting with mononeuritis multiplex

A 38-year-old man with a medical history of sinusitis, nasal polyps, and asthma presented with a 2-week history of progressive sensory and motor loss in his right hand and foot. Dermatology was consulted to evaluate mildly pruritic lesions on the elbows and dorsal right hand that had been recurring for the past year. Since the initial outbreak, the patient had 6 flares of this eruption. Self-medication with oral prednisone for a few weeks resulted in near-complete resolution of the eruption. The lesions are rarely painful and only mildly tender.