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November 1959

Erythema Gyratum Repens: Report of a Case

Author Affiliations

Hamilton, New Zealand

AMA Arch Derm. 1959;80(5):590-591. doi:10.1001/archderm.1959.01560230076020

In October, 1952, Dr. John A Gammel reported a case of a woman with a bizarre skin eruption apparently related to cancer of the breast. He labeled it ``erythema gyratum repens.'' No subsequent publication in English of a case closely similar seems to have been made.

The salient features of Gammel's case were as follows:

  1. Woman aged 55 years.

  2. Eruption present for nine months.

  3. Began on the anterior neck and adjacent part of the chest.

  4. Face and neck reddened and scaly; edema of lids.

  5. Trunk and limbs covered by erythema with a pattern like a knotty cypress board (excellent photographs show this well) and with a collarette type of desquamation; the erythema moved from day to day and parts would clear while others flared.

  6. Poorly differentiated adenocarcinoma of the breast discovered.

  7. Rapid clearing of the rash following removal of the