Wiener Medizinische Wochenschrift

, Volume 167, Issue 5–6, pp 117–119 | Cite as

Erythema gyratum repens: a pathogenetic mystery and therapeutic challenge

  • Georgi TchernevEmail author
  • Anastasiya Atanasova Chokoeva
  • Nadezhda Georgieva Vidolova
  • Bogdana Ivanova
  • Hristo Mangarov
  • Diana Nikolovska
  • James W. Patterson
Letter to the Editor
Dear editors, We report the case of a 64-year-old white male patient admitted to the dermatologic department with multiple annular lesions located on the arms and legs with an 8‑year history. The lesions presented initially as several small rounded papules with more pronounced edges, but gradually increased in size and became disseminated. At the time of admission, he presented with numerous annular lesions with sharply distinguishable erythematous margins, which, on closer inspection were double- and triple-lined in some areas (Fig.  1a, b, c). Mucous membranes were not affected by pathologic changes. Complaints included severe pruritus, which was reported to be painful during and after scratching. The patient had been treated with topical and systemic corticosteroids over the years, without satisfactory improvement. His medical history included diabetes type 2, toxic nodular goiter, arterial hypertension, iron deficiency anemia well controlled with therapy, and alcoholism. No family...


Goiter Iron Deficiency Anemia Nodular Goiter Cutaneous Lupus Erythematosus Leukocytoclastic Vasculitis 
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Compliance with ethical guidelines

Conflict of interest

G. Tchernev, A. A. Chokoeva, N. G. Vidolova, B. Ivanova, H. Mangarov, D. Nikolovska, and J. W. Patterson declare that they have no competing interests.

Ethical Standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants from whom identifying information is included in this article.


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Copyright information

© Springer-Verlag Wien 2016

Authors and Affiliations

  • Georgi Tchernev
    • 1
    • 2
    Email author
  • Anastasiya Atanasova Chokoeva
    • 2
    • 3
  • Nadezhda Georgieva Vidolova
    • 1
  • Bogdana Ivanova
    • 1
  • Hristo Mangarov
    • 1
  • Diana Nikolovska
    • 4
  • James W. Patterson
    • 5
  1. 1.Department of Dermatology, Venereology and Dermatologic SurgeryMedical Institute of Ministry of Interior (MVR-Sofia)SofiaBulgaria
  2. 2.“Onkoderma” – Policlinic for Dermatology and Dermatologic SurgerySofiaBulgaria
  3. 3.Department of Dermatology and VenereologyMedical University of PlovdivPlovdivBulgaria
  4. 4.Department for Clinical GastroenterologyMedical Institute of Ministry of Interior (MVR-Sofia)SofiaBulgaria
  5. 5.Department of PathologyUniversity of Virginia Health SystemCharlottesvilleUSA

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