Author/Editor		Szepietowski, JC; Reich, A; Wasik, F
Title		Palpable migratory arciform erythema - does this entity really exist?
Type		članek
Source		Acta Dermatovenerol Alp Pannon Adriat
Vol. and No.		Letnik 13, št. 1
Publication year		2004
Volume		str. 20-4
Language		eng
Abstract		Palpable migratory arciform erythema has rarely been reported in medical literature. A 59-year old female patient was referred to our department because of slightly itchy, erythematous lesions on the back, which had been present for the previous 4 years. Previously she had been treated with topical corticosteroids without any improvement. Within the 4-year period the lesions had shown a partly spontaneous resolution with the formation of new arciform or semiannular lesions. On admission she presented with 2 elevated and firmly palpable erythematous patches on the back. The lesions had sharp and distinct margins, about 4 cm in diameter, and an annular shape with a tendency towards central clearing. Histological examination revealed dense lymphocytic infiltrate located around the epithelial structures of the adnexa and around the blood vessels. Immunohistochemistry showed predominantly T cells (CD34-positive, CD45 RO-positive cells). A diagnosis of palpable migratory arciform erythema was established and the patient was treated with oral tetracycline and topical corticosteroids. This treatment resulted in marked improvement within 7-10 days.
Descriptors		ERYTHEMA SKIN DISEASES PSEUDOLYMPHOMA MIDDLE AGE IMMUNOHISTOCHEMISTRY T-LYMPHOCYTES ANTIGENS, CD45 ANTIGENS, CD20