Erythema annulare centrifugum
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Suprotno ovoj slici, češće je da lezija nema ljuštenje.
References
Erythema annulare centrifugum (EAC) je vrsta crvenog osipa koji formira prstenasti oblik i širi se prema van, ostavljajući jasan centar. Kada se EAC pojavi zbog raka, to se zove PEACE (paraneoplastic erythema annulare centrifugum eruption) . PEACE je češći kod žena, često se pojavljuje prije nego što se dijagnosticira rak i može se vratiti nakon liječenja. EAC je jedan od glavnih tipova osipa u obliku prstena, sa jedinstvenim karakteristikama u poređenju sa drugim velikim figurativnim eritemima (erythema marginatum, erythema migrans, and erythema gyratum repens) .
Erythema annulare centrifugum (EAC) is an annular, erythematous lesion that appears as urticarial-like papules and enlarges centrifugally, then clears centrally. A fine scale is sometimes present inside the advancing edge, known as a trailing scale. Erythema annulare centrifugum is classified as a reactive erythema and has been associated with various underlying conditions, including malignancies. When erythema annulare centrifugum occurs as a paraneoplastic phenomenon, it has been designated PEACE (paraneoplastic erythema annulare centrifugum eruption). PEACE is more commonly seen in females, typically precedes the clinical diagnosis of malignancy, and may recur with subsequent relapses. EAC is one of the three major figurate erythemas, with EAC being the most common. These dermatoses share the common presentation of advancing erythematous, annular lesions, but are each separated by unique clinical and histopathologic characteristics. Once the other major figurate erythemas (erythema marginatum, erythema migrans, and erythema gyratum repens) are excluded, EAC often becomes a diagnosis of exclusion.
Erythema annulare centrifugum (EAC) is an annular, erythematous lesion that appears as urticarial-like papules and enlarges centrifugally, then clears centrally. A fine scale is sometimes present inside the advancing edge, known as a trailing scale. Erythema annulare centrifugum is classified as a reactive erythema and has been associated with various underlying conditions, including malignancies. When erythema annulare centrifugum occurs as a paraneoplastic phenomenon, it has been designated PEACE (paraneoplastic erythema annulare centrifugum eruption). PEACE is more commonly seen in females, typically precedes the clinical diagnosis of malignancy, and may recur with subsequent relapses. EAC is one of the three major figurate erythemas, with EAC being the most common. These dermatoses share the common presentation of advancing erythematous, annular lesions, but are each separated by unique clinical and histopathologic characteristics. Once the other major figurate erythemas (erythema marginatum, erythema migrans, and erythema gyratum repens) are excluded, EAC often becomes a diagnosis of exclusion.
Erythema annulare centrifugum (EAC) je vrsta crvenog osipa koji formira kružne oblike i često ima ljuskavu kožu. Smatra se da ga izazivaju različiti faktori, ali nismo sigurni kako se tačno dešava. U prosjeku, osip traje oko 11 mjeseci. Razgovaramo o pacijentu kojem se EAC vraća 50 godina bez jasnog razloga. Iako se čini da se vraća u određeno doba godine, ovaj slučaj predstavlja najduže prijavljeno trajanje EAC-a.
Erythema annulare centrifugum (EAC) is a type of red rash that forms circular shapes and often has flaky skin. It's thought to be triggered by various factors, but we're not sure exactly how it happens. On average, the rash lasts for about 11 months. We discuss a patient who has had EAC coming back for 50 years without a clear reason. While it does seem to come back at certain times of the year, this case represents the longest reported duration of EAC.
Erythema annulare centrifugum (EAC) is a type of red rash that forms circular shapes and often has flaky skin. It's thought to be triggered by various factors, but we're not sure exactly how it happens. On average, the rash lasts for about 11 months. We discuss a patient who has had EAC coming back for 50 years without a clear reason. While it does seem to come back at certain times of the year, this case represents the longest reported duration of EAC.
Javljajući se u bilo kojoj dobi, ove lezije se pojavljuju kao izdignuti ružičasto-crveni prsten ili tragovi u obliku jabuka. Njihova veličina se kreće od 0,5-8 cm (0,20-3,15 in). Lezije ponekad povećavaju veličinu i šire se tokom vremena i ne moraju biti potpuni prstenovi, već nepravilni oblici.
Može se uraditi biopsija kože da bi se potvrdila bolest. Lezije mogu trajati s bilo kojeg mjesta sa prosječnim trajanjem od 11 mjeseci. Obično ne zahtijeva liječenje, ali lokalni steroidi mogu biti od pomoći u smanjenju crvenila, otoka i svrbeža.