Gyrate Erythemas: Erythema Gyratum Repens and Erythema Chronicum Migrans


The gyrate erythemas are a heterogeneous group of dermatoses clinically defined by the presence of circinate, annular, and/or polycyclic lesions that are often associated with serious underlying systemic diseases (1). The gyrate erythemas consist of the entities erythema annulare centrifugum (EAC), erythema marginatum rheumaticum (EMR), erythema gyratum repens (EGR), and erythema chronicum migrans (ECM). The latter two entities, namely EGR and ECM, are associated with potentially deadly underlying disorders and thus will be discussed in greater detail.


Lyme Disease Borrelia Burgdorferi Cutaneous Manifestation Tick Bite Internal Malignancy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Hurley H, Hurley J. The gyrate erythemas. Semin Dermatol 1984;3:327.Google Scholar
  2. 2.
    Gammel J. Erythema gyratum repens. Arch Derm Syph 1953;66:494.Google Scholar
  3. 3.
    Boyd A, Neldner K, Menter A. Erythema gyratum repens: A paraneoplastic eruption. J Dermatol 1992;26:757.CrossRefGoogle Scholar
  4. 4.
    Appell M, Ward W, Tyring S. Erythema gyratum repens: A cutaneous marker of malignancy. Cancer 1988;62:548.PubMedCrossRefGoogle Scholar
  5. 5.
    Langlois J, Shaw J, Odland G. Erythema gyratum repens unassociated with internal malignancy. J Am Acad Dermatol 1985;12:911.PubMedCrossRefGoogle Scholar
  6. 6.
    Wakeel R, Ormerod A, Sewell H, et al. Subcorneal accumulation of Langerhans cells in erythema gyratum repens. Br J Dermatol 1992;126:189.PubMedCrossRefGoogle Scholar
  7. 7.
    Albers S, Fenske N, Glass F. Erythema gyratum repens: Direct immunofluorescence microscopic findings. J Am Acad Dermatol 1993;29:493.PubMedCrossRefGoogle Scholar
  8. 8.
    Trevisan G, Cinco M. Lyme disease: A general survey. Int J Dermatol 1990;29:1.PubMedCrossRefGoogle Scholar
  9. 9.
    Asbrink E, Hovmark A. Cutaneous manifestations in Ixodes-borne Borrelia spirochetosis. Int J Dermatol 1987;26:215.PubMedCrossRefGoogle Scholar
  10. 10.
    Berger B. Erythema chronicum migrans of Lyme disease. Arch Dermatol 1984;120:1017.PubMedCrossRefGoogle Scholar
  11. 11.
    Krafchick B. Lyme disease. Int J Dermatol 1989;28:71.CrossRefGoogle Scholar
  12. 12.
    Abele D, Anders K. The many faces and phases of borreliosis I. Lyme disease. J Am Acad Dermatol 1990;23:167.PubMedGoogle Scholar
  13. 13.
    Wu Y, Zhang W, Feng F, et al. Atypical cutaneous lesions of Lyme disease. Clin Exp Dermatol 1993;18:434.PubMedCrossRefGoogle Scholar
  14. 14.
    Berg D, Abson K, Prose N. The laboratory diagnosis of Lyme disease. Arch Dermatol 1991;127:866.PubMedCrossRefGoogle Scholar
  15. 15.
    Berger B, Clemmensen O, Ackerman A. Lyme diseases a spirochetosis. Am J Dermatopathol 1983;5:111.PubMedCrossRefGoogle Scholar
  16. 16.
    Wienecke, Neubert U, Volkenandt M. Molecular detection of Borrelia burgdorferi in formalin-fixed, paraffinembedded lesions of Lyme disease. J Cutan Pathol 1993;20:385.PubMedCrossRefGoogle Scholar
  17. 17.
    Barbour A. Isolation and cultivation of Lyme disease spirochetes. Yale J Bio Med 1984;57:521.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Personalised recommendations