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November 1969


Author Affiliations

Wichita Clinic 3244 E Douglas Wichita, Kan 67208

Arch Dermatol. 1969;100(5):639. doi:10.1001/archderm.1969.01610290123029

To the Editor.—  Erythema gyratum repens is the rarest variety of the annular erythemas. It is associated with internal malignancy, usually of breast or lung.1,2

Report of a Case.—  A 52-year-old retired bricklayer was admitted to University of Oklahoma Hospital, Oct 22, 1968. He had experienced severe frontal headaches and noted weight loss since January. In July he developed a generalized, slightly pruritic scaling eruption. Beginning in early September, he had right upper quadrant pain, and in early October developed jaundice. By the date of admission, he had lost approximately 30 lb (13.6 kg) and exhibited mental confusion.The only drugs taken during his illness were aspirin and codeine. He had been a "heavy drinker" and had smoked two packs of cigarettes a day for years.

Physical Examination.—  The patient was a chronically ill, emaciated, poorly oriented white man who was obviously jaundiced. Over the trunk, proximal

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