palisaded neutrophilic and granulomatous dermatitis palisaded neutrophilic and granulomatous dermatitis palisaded neutrophilic and granulomatous dermaititis is usually associated with a well-defined connective tissue disease, lupus erythematosus or rheumatoid arthritis most commonly, and often presents with eroded or ulcerated symmetrically distributed umbilicated papules or nodules on the elbows. palisaded neutrophilic and granulomatous dermatitisspecialtydermatology