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February 1973

Annulus Migrans: Identical Lesions in Pustular Psoriasis, Reiter's Syndrome, and Geographic Tongue

Author Affiliations


From the Department of Dermatology, Yale University School of Medicine and Yale-New Haven Medical Center, New Haven, Conn. Dr. O'Keefe is now with the Division of Medical Genetics, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore. Dr. O'Keefe is a recipient of US Public Health Service National Institute of Health Special Research Fellowship (Institute of Arthritis, Metabolism and Digestive Disease).

Arch Dermatol. 1973;107(2):240-244. doi:10.1001/archderm.1973.01620170052014

Three patients had pustular psoriasis and one had pityriasis rubra pilaris. They all had identical lesions of the tongue and buccal mucosa, which consist of slightly raised annular, polycyclic, or striate lesions varying in color from gray to yellowish white. The clinical appearance and histopathologic findings of these tongue lesions and those seen in Reiter's syndrome and geographic tongue are identical. "Annulus migrans" is suggested as the most appropriate name for this entity.