Erythema gyratum repens - Immunocompromised, HIV and AIDS
Erythema gyratum repens is associated with internal malignancy in 85% of patients, most commonly lung carcinoma. Other cases have been reported with cancers of the esophagus, breast, cervix, stomach, pharynx, bladder, prostate, uterus, tongue, colon, and pancreas. Erythema gyratum repens has also been noted in association with several nonmalignant conditions such as tuberculosis, linear IgA dermatosis, psoriasis, pityriasis rubra pilaris, pemphigus vulgaris, bullous pemphigoid, ichthyosis, and hypereosinophilic syndrome. The disorder has only been reported in whites. The male-to-female ratio is 2:1, and the average age of onset is 63 years.
L53.8 – Other specified erythematous conditions
77300003 – Erythema gyratum repens
- Erythema annulare centrifugum (EAC) – Erythema gyratum repens advances at a much faster rate than EAC.
- Erythema migrans (marker of Lyme disease)
- Annular urticaria
- Urticarial phase of bullous pemphigoid
- Erythema multiforme
- Tinea corporis
- Erythema marginatum (rheumatic fever)
- Necrolytic migratory erythema (associated with glucagonomas)
- If the rash is psoriasiform, check for other stigmata of psoriasis.
- Subacute cutaneous lupus erythematosus
- Granuloma annulare
- Secondary syphilis
- Tinea imbricata