Erythema Annulare Centrifugum (Deep Type): A Rare Case Report

Authors

  • Khalid Al Hawsawi Dermatology Consultant, Head of Dermatology Department, King Abdul Aziz Hospital, Makkah, Saudi Arabia
  • Hanadi Alzanbagi Dermatology Resident, King Abdul Aziz Hospital, Makkah, Saudi Arabia
  • Sara Almatrafi Medical Intern, Umm Al-Qura University, King Abdul Aziz Hospital, Makkah, Saudi Arabia
  • Samaher Refae Dermatology Resident, King Abdul Aziz Hospital, Makkah, Saudi Arabia
  • Fatmah Al-Shahrani Medical Intern, King Khalid University, Abha, Saudi Arabia; King Abdul Aziz Hospital, Makkah, Saudi Arabia
  • Hatem Alsulimani Medical Intern, Umm Al-Qura University, King Abdul Aziz Hospital, Makkah, Saudi Arabia
  • Randa Almatrafi General Practitioner, Alnoor Hospital, Makkah, Saudi Arabia

DOI:

https://doi.org/10.17140/DRMTOJ-2-119

Keywords:

Erythema annulare centrifugum, Figurate erythema, Erythema gyratum perstans

Abstract

Erythema annulare centrifugum (EAC) is one of the figurate erythemas. It is uncommon inflammatory
condition characterized by annular or arcuate erythematous eruptions that slowly
enlarge centrifugally. It persists from few days to several months. It can recurrent. Here in we
present a 40-year-old-male otherwise healthy, is working as a nurse in leprosy hospital. He was
concerned from having leprosy. He developed recurrent asymptomatic skin lesions on his face
for the last 5 months. The lesions start as small pimples that are getting bigger every day. The
lesions last for few weeks and then disappear but recur again after weeks to months. Sensation
examination of the facial skin was normal. On palpation of periauricular nerves, there was
nerve hypertrophy. His older brother had similar skin lesions 10 years ago that lasted for few
months and then healed without treatment. Skin examination revealed multiple non-scaly annular
erythematous plaques, with variable sizes ranging from 2 cm to 4 cm on his face. Skin
biopsy showed normal epidermis. The dermis showed moderately dense perivascular and periadnexal
mononuclear cellular infiltrate in coat sleeve pattern in both upper and lower dermis.
Fite stain was negative. The patient was reassured.

References

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Published

2017-02-10

How to Cite

Khalid Al Hawsawi, Hanadi Alzanbagi, Sara Almatrafi, Samaher Refae, Fatmah Al-Shahrani, Hatem Alsulimani, & Randa Almatrafi. (2017). Erythema Annulare Centrifugum (Deep Type): A Rare Case Report. Dermatology, 2(1), 2–4. https://doi.org/10.17140/DRMTOJ-2-119

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