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February 1985

Erythema Gyratum Repens

Author Affiliations

Department of Medicine Section of Dermatology Michael Reese Hospital and Medical Center Chicago, IL 60616

Arch Dermatol. 1985;121(2):170-171. doi:10.1001/archderm.1985.01660020028009

To the Editor.—  We would like to report a case of erythema gyratum repens (EGR) in a patient with squamous cell carcinoma of the lung.

Report of a Case.—  A 69-year-old man was admitted to Michael Reese Hospital, Chicago, for the evaluation of a scaly pruritic eruption of eight months duration. The rash began on the feet and legs and spread to the thighs, trunk, arms, neck, and face. The patient also complained of fatigue, anorexia, and an 18 kg weight loss; he denied any history of cough or hemoptysis. The patient had a 100-pack-year history of cigarette smoking.Physical examination disclosed a generalized scaling eruption with whorled, irregular, gyrate bands of erythema on the trunk and extremities. A prominent "wood-grain" pattern was seen in the axillae and groin composed of concentric rings of erythema and scaling. An ichthyosiform eruption on the legs consisted of fine rhomoboidal scales. The remainder

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