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Giornale Italiano di Dermatologia e Venereologia 2004 October;139(5):493-7

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English, Italian

Erythema gyratum repens. Case report

Cannavò S. P., Borgia F., Guarneri C., Manfrè C.

Dermatology Section Department of Environmental Social Medicine University of Messina, Messina, Italy


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Paraneoplastic dermatoses are skin pathologies without an intrinsically neoplastic nature but which followed a close parallel course with a malignancy, of which they represent the cutaneous markers. This group includes erythema gyratum repens (EGR), a peculiar figurate dermatosis first described by Gammel in 1953, almost constantly associated with malignancies, primarily lung cancer. Therefore, its recognition imposes a meticulous screening to detect an otherwise unknown cancer. The authors describe the case of a 75 year-old man who presented the onset of cutaneous features suggestive of EGR, allowing the early diagnosis of an underlying, silent lung cancer; the surgical removal of the malignancy determined the complete resolution of the skin manifestation. No relapses were observed at 1 year follow-up. The authors review the literature on this topic and discuss the main pathogenetic hypotheses.

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