Erythema annulare centrifugum Darier

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The article analyzes current information on erythema annulare centrifugum Darier, a reactive dermatosis; the triggers for the development of this disease include bacterial, viral and fungal infections, drugs, malignant neoplasms (both lymphoproliferative malignancies and solid tumors), autoimmune (Hashimoto’s thyroiditis, Graves’ disease, polyglandular syndrome, alopecia areata, vitiligo) and systemic diseases (Sjogren’s syndrome, Crohn’s disease). The article considers the clinical and histological features of the superficial and deep types of erythema annulare centrifugum Darier, and issues of differential diagnostics. The authors present their own clinical observation of the deep type of erythema annulare centrifugum Darier in a 32-year-old patient with a long history of the disease (10 years), and the absence of a typical annular configuration of lesions, as well as the presence of itching in the area of the rash, which is not typical for this type of disease.

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Sobre autores

Ekaterina Murakhovskaya

Russian Medical Academy of Continuous Professional Education

Autor responsável pela correspondência
Email: murakhovskayaek@mail.ru
ORCID ID: 0000-0002-3126-3618
Código SPIN: 2862-2889

Cand. Sci. (Med.), Teaching Assistant at the Department of Dermatovenereology and Cosmetology

Rússia, Moscow

Tatyana Sysoeva

Russian Medical Academy of Continuous Professional Education

Email: murakhovskayaek@mail.ru
ORCID ID: 0000-0002-3426-4106
Código SPIN: 1919-6461

Cand. Sci. (Med.), Associate Professor, Department of Dermatovenereology and Cosmetology

Rússia, Moscow

Ksenia Plakhova

Russian Medical Academy of Continuous Professional Education; State Research Center of Dermatovenereology and Cosmetology

Email: murakhovskayaek@mail.ru
ORCID ID: 0000-0003-4169-4128
Código SPIN: 7634-5521

Dr. Sci. (Med.), Professor, Department of Dermatovenereology and Cosmetology

Rússia, Moscow; Moscow

Anastasia Asoskova

Russian Medical Academy of Continuous Professional Education

Email: murakhovskayaek@mail.ru
ORCID ID: 0000-0002-2228-8442
Código SPIN: 5530-9490

Cand. Sci. (Med.), Associate Professor, Department of Dermatovenereology and Cosmetology

Rússia, Moscow

Maria Nefedova

State Research Center of Dermatovenereology and Cosmetology

Email: murakhovskayaek@mail.ru
ORCID ID: 0000-0003-1141-9352
Código SPIN: 1307-1189

Junior Researcher, Department of Dermatology

Rússia, Moscow

Bibliografia

  1. Seto-Torrent N., Altemir A., Iglesias-Sancho M., Fernandez-Figueras M.T. Erythema annulare centrifugum triggered by SARS-CoV-2 infection. J Eur Acad Dermatol Venereol. 2022;36(1):e4–e6. https://dx.doi.org/10.1111/jdv.17645
  2. Boehner A., Neuhauser R., Zink A. Ring J. Figurate erythemas – update and diagnostic approach. JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 2021;19:963–972. https://dx.doi.org/10.1111/ddg.14450
  3. Chodkiewicz H.M., Cohen P.R. Paraneoplastic erythema annulare centrifugum eruption: PEACE. Am J Clin Dermatol. 2012;13:239–246. https://dx.doi.org/10.2165/11596580-000000000-00000
  4. Calderon P., Ajmal H., Brady M., Kartono F. Refractory erythema annulare centrifugum treated with roflumilast. JAAD Case Rep. 2024;47:17–19. https://dx.doi.org/10.1016/j.jdcr.2024.02.004
  5. Darier J. De l’eґrythe`me annulaire centrifuge. Ann Dermatol Syphilig. 1916;6:57–76.
  6. Mitic T., Adzic‐Vukicevic T., Stojsic J., Dobrosavljevic D. Paraneoplastic erythema annulare centrifugum eruption as a cutaneous marker of squamous cell carcinoma of the lung. J Eur Acad Dermatol Venereol. 2020;34:e617–e620. https://dx.doi.org/10.1111/jdv.16497
  7. Meloche L., Garon L., Coulombe J. Erythema annulare centrifugum in a child. CMAJ. 2022;194(49):E1690. https://dx.doi.org/10.1503/cmaj.221246
  8. Ko W.C., You W.C. Erythema annulare centrifugum developed post-breast cancer surgery. J Dermatol. 2011; 38(9):920–922.
  9. Sardana K., Chugh S., Mahajan K. An observational study of the efficacy of azithromycin in erythema annulare centrifugum. Clin Exp Dermatol. 2018;43:296–299. https://dx.doi.org/10.1111/ced.13334
  10. Lee M.S., Klebanov N, Yanes D., Stavert R. Refractory erythema annulare centrifugum treated with apremilast. JAAD Case Reports. 2021;15:100–103. https://dx.doi.org/10.1016/j.jdcr.2021.07.012
  11. Kim K.J., Chang S.E., Choi J.H., et al. Clinicopathologic analysis of 66 cases of erythema annulare centrifugum. J Dermatol. 2002;29:61–67. https://dx.doi.org/10.1111/j.1346-8138.2002.tb00167.x
  12. Fernandez-Nieto D., Ortega-Quijano D., Jimenez-Cauhe J., Bea-Ardebol S. Erythema annulare centrifugum associated with chronic amitriptyline intake. An Bras Dermatol. 2021;96(1):114–116. https://dx.doi.org/10.1016/j.abd.2020.05.013
  13. Meena D., Chauhan P., Hazarika N., et al. Aceclofenac-induced erythema annulare centrifugum. Indian J Dermatol. 2018;63(1):70–72. https://dx.doi.org/10.4103/ijd.IJD_728_16
  14. Jalil P., Masood S., Fatima S. Erythema Annulare Centrifugum: A rare skin manifestation of Hashimoto thyroiditis. Cureus. 2020;12(8):e9906. https://dx.doi.org/10.7759/cureus.9906
  15. Agrawal P., Kumar A., Pursnani N., et al. Erythema annulare centrifugum in a case of chronic myeloid leukemia. J Family Med Prim Care. 2022;11(6):3349–3351. https://dx.doi.org/10.4103/jfmpc.jfmpc_1357_21
  16. Thompson H.J., King B.J., Link B., Liu V. Paraneoplastic erythema annulare centrifugum associated with mycosis fungoides. JAAD Case Rep. 2021;17:65–68. https://dx.doi.org/10.1016/j.jdcr.2021.09.027
  17. Atalay A.A., Abuaf O.K., Dogan B. Squamous cell lung carcinoma presenting with erythema annulare centrifugum. Acta Dermatovenerol Croat. 2013;21:56–58.
  18. Trayes K.P., Savage K., Studdiford J.S. Annular lesions: diagnosis and treatment. Am Fam Physician. 2018;98(5):283–291.
  19. Rao N.G., Pariser R.J. Annular erythema responding to tacrolimus ointment. J Drugs Dermatol. 2003;2:421–424.
  20. Gniadecki R. Calcipotriol for erythema annulare centrifugum. Br J Dermatol. 2002;146:317–319. https://dx.doi.org/10.1046/j.0007-0963.2001.04572.x
  21. Kruse L.L., Kenner-Bell B.M., Mancini AJ. Pediatric erythema annulare centrifugum treated with oral fluconazole: a retrospective series. Pediatr Dermatol. 2016;33:501–506. https://dx.doi.org/10.1111/pde.12909

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2. Figure 1. Clinical picture: upper third of the right forearm

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3. Figure 2. Clinical picture: upper third of the right shin and knee area

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4. Figure 3. Histological examination of the biopsy (hematoxylin and eosin staining, x50): hyperkeratosis with focal parakeratosis

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5. Figure 4. Histological examination of the biopsy (hematoxylin and eosin staining, x100): vacuolar degeneration of the epidermis, perivascular infiltrates consisting of lymphocytes are visible

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6. Figure 5. Histological examination of biopsy (staining with hematoxylin and eosin, x200) perivascular infiltrate (lymphocytes, histiocytes, single neutrophil)

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