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Migratory Erythema: Erythema Annulare Centrifugum? Presented by Dr. Adolph Rostenberg, Jr. and (by invitation) Dr. Betsy B. Brennan.
A 50-year-old white married man, a dairy worker, since January, 1955, has had progressive dusky erythema and scaling of the right foot, followed in a few months by progressive pain and weakness of the right foot and leg.
For four months there has been a continuous eruption on the right leg and thigh of large, ring-like lesions. The border of the lesions consists of fine erythematous papules leaving a clear center which shows slight scaling and pigmentation. Some lesions have coalesced, producing an arciform border. The rings, according to him, change in position and size.
The right foot shows uninterrupted dusky erythema from the ankle downward, over which there is a dry scale. The nails are thickened, ridged, and opaque. Scrapings from the nails and skin contained no fungus.