ERYTHEMA GYRATUM REPENS

By Gary M. White, MD


Erythema gyratum repens (EGR) is a rare often paraneoplastic syndrome most commonly associated with lung, esophageal, and breast carcinoma.

Clinical

Gyrate erythematous and scaly lesions are widespread. The appearance can be akin to erythema annular centrifugum. The annular, wavy, red, scaly lines are sometimes said to fit together like "grains of wood".

Treatment

If paraneoplastic, removing the malignancy clears the rash.

Additional Pictures

This case of EAC was dense enough in some areas to resemble EGR.
Erythema annulare centrifugum resembling erythema gyratum repens

References

Images in Clinical Medicine. N Engl J Med; May 2010

Figure 4 from An. Bras. Dermatol. vol.88 no.1 Rio de Janeiro Jan./Feb. 201

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