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Erythema Annulare Centrifugum

M. Monjur Alam, MD, MHA, CPE Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Erythema annulare centrifugum (EAC) is an inflammatory eruption characterized by erythematous, annular or figurate plaques that demonstrate central clearing and a distinctive trailin...

DIAGNOSIS

HISTORY

  • Patients may experience a scaling rash that enlarges by several millimeters per day with or without pruritus. Rash often spreads by peripheral extension with central clearing.

  • Excludin...

TREATMENT

GENERAL MEASURES

  • Address primary disease.

  • Treat symptoms (if present) if underlying disorder cannot be treated and eliminated.

  • Discontinue any offending medications suspected to induce EAC.

  • Lesi...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Consultation with a dermatologist is recommended for persistent or recurrent flares of EAC. 

DIET

Avoid precipitating foods and medications. 

PROGNOSIS

  • Most EAC cases...

REFERENCES

1
Wu YH, Hsiao PF. Neutrophilic figurate erythema. Am J Dermatopathol. 2017;39(5):344–350. doi: 10.1097/ PMID: 28426486.
2
Mahood  JM. Erythema annulare centrifugum: a ...

ADDITIONAL READING

  • Atalay  AA, Abuaf  OK, Dogan  B. Squamous cell lung carcinoma presenting with erythema annulare centrifugum. Acta Dermatovenerol Croat.  2013;21(1):5...

CODES

ICD10

L53.1 Erythema annulare centrifugum 

SNOMED

399914006 Erythema annulare centrifugum 

CLINICAL PEARLS

  • EAC is an erythematous annular or figurate (curved) eruption on the trunk or proximal extremities, often with central clearing and scaling at the trailing edge of the erythema with or ...

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