During the summer of 2001, a newly recorded species of exotic hawkweed hieracium glomeratum froel. Erythema anulare centrifugum eac, is a descriptive term for a class of skin lesion presenting redness in a ring form anulare that spreads from a center centrifugum. Ludwigia repens lady bird johnson wildflower center. The pattern is frequently described as woodgrained. Full text full text is available as a scanned copy of the original print version. Various erytematous eruptions with a curvilinear gyrate appearance. Erythema gyratum repens is rare and is the most distinctive of the gyrate erythemas. Serrao, v martins, a ponte, p baptista, j apetato, m feio, a. Erythema gyratum repens is associated with malignancy in as many as 80% of patients. Elytrigia repens ista stabilized name, agropyron repens, agropyron firmum, triticum firmum, triticum repens perennial, native of eurasia, exotic to north america commonly grows in cultivated fields, pastures, old fields, railway lines, roadsides. The dermatologist of the twentieth century has been trained to consider the possibility of internal diseases in all cases of atypical, bizarre, or recalcitrant dermatoses. It forms carpets to dense bushes and has become an oftenused plant in aquascaping. Most patients with erythema gyratum repens develop the eruption.
The website also provides access to a database and images of herbarium specimens found at the university of south florida and other herbaria. While there are many dermatoses that have an annular appearance, the term annular erythema is sometimes reserved for a group of. Department of agriculture agricultural research service. In this case report, we describe the condition of a 61yearold woman who presented with a generalized pruritic eruption that was shown to be egr. Cd4cd8 doublenegative mycosis fungoides mimicking erythema gyratum repens in a patient with underlying lung cancer. If the expansion of the rash is not uniform it may become arciform arclike or polycyclic two or more connected rings. Staurogyne repens can be formed well by trimming, and its compact growth and its solid stems ramifying at the base make it look like a spreading shrub. Erythema annulare centrifugum tends to recur over several months or years, but it can spontaneously remit. Quackgrass is native to eurasia and was introduced in the 1600s in contaminated seed. Erythema gyratum repenslike eruption in sezary syndrome. A case of erythema gyratum repens in a 76yearold woman with autoimmune hepatitis type i treated with glucocorticoids is reported. This case report details the appearance, epidemiology, diagnosis, and treatment of egr.
Erythema gyratum repens is a rare facultative cutaneous paraneoplasia. Briq the record derives from ildis data supplied on 20100714 which reports it. In addition to other features, characteristic concentric erythematous bands forming a woodgrain appearance help distinguish erythema gyratum repens from other figurate erythemas, such as erythema annulare centrifugum, erythema migrans, and e. Erythema gyratum repens egr is a figurate erythema that is believed to be a paraneoplastic condition in most cases. The atlas of florida plants provides a source of information for the distribution of plants within the state and taxonomic information. The eruption is rapidly migrating and composed of concentric rings forming a woodgrain pattern histology of erythema gyratum repens. Panicum repens is a perennial grass that can reach up to 3 ft.
Erythema gyratum repens has not previously been described in association with non. The stems are green to whitish, erect to decumbent and can grow to 3 ft 0. Histological features of erythema gyratum repens are not diagnostic and include hyperkeratosis, parakeratosis, acanthosis and. Erythema gyratum repens egr is a rare, and characteristic, paraneoplastic rash associated with a variety of malignancies, most notably lung, esophageal, and breast cancers. Lerythema gyratum repens egr est une dermatose tres rare le plus souvent associee a une affection. It includes erythema multiforme, annular erythema of infancy, necrolytic migratory erythema nme, erythema annulare centrifugum eac, erythema gyratum repens and erythema marginatum. Journal of the european academy of dermatology and venereology, 28. Erythema gyratum repens eruption has been noted after surgery, chemotherapy, or radiotherapy. Among visceral malignancies, the lung is the most common site, 7, 8, 9 followed by the breast, urinary bladder, uterus andor cervix, gi tract stomach, and prostate. Erythema gyratum repens has also been associated with anal cancer. In the majority of instances cancer is the culprit, however, certain autoimmune diseases or infections may give rise to the condition. Erythema gyratum repens egr is an uncommon condition defining a type of skin lesion pattern, in which red skin rashes composed of concentric rings annular erythema moves to different parts of the body. Following the resection, the skin lesions cleared within a few days.
Erythema gyratum repens as the initial manifestation of lung cancer. Many rashes are nonspecific and resolve with minimal treatment, but some skin eruptions are pathognomonic for serious systemic diseases. Usdanrcs database of plants of the united states and its territories. The most frequently associated symptom with erythema gyratum repens is pruritus. Plants profile for ludwigia repens creeping primrosewillow. There have been only 21 reported cases of erythema gyratum repens in the dermatological literature. On sep 1, 2007, soldiersong from north plains, or zone 8a wrote.
Comprehensive report species acmella oppositifolia var. Erythema gyratum repense like eruption in bullous pemphigoid our. Erythema gyratum repens is described as a serpiginous, erythematous dermatosis with a fine scale trailing the leading edge. The erythrokeratodermias are a clinically variable and genetically heterogeneous group of inherited disorders characterized by widespread erythematous plaques, stationary or migratory, associated with nonmigratory hyperkeratoses summary by ishidayamamoto et al. It occurs with any skin injury, infection, or inflammation. Started in 1995, this collection now contains 6769 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Erythema gyratum repens egr is a rare, and characteristic, rash strongly associated with malignancy.
Newly planted shoots mainly grow creeping and carpetlikein the beginnning, however, they might also form upright stems, especially if the group grows denser over time. Erythema gyratum repens is a rare, clinically specific, and distinctive paraneoplastic syndrome. Opuntia repens in the germplasm resources information network grin, u. Erythema gyratum repens with pulmonary tuberculosis barber. Creeping primrosewillow, floating primrosewillow, water primrose onagraceae evening primrose family synonyms. This chapter describes a group of conditions that do not necessarily lead to a specific underlying diagnosis and may pose diagnostic and therapeutic problems. A background and foreground screening shrub with a dense habit and dark green, highgloss leaves. Within 3 weeks of supplementary azathioprine treatment, the patient reported gastrointestinal discomfort and developed an erythema. As a result, if we combine all these facts, that the. Erythema gyratum repens is a clinically distinctive figurate or annular erythema that is usually associated with underlying malignancy. It asks nothing but regular watering, and continues to bloom and bloom and bloom. Many different terms have been used to classify these types of lesions and it is still controversial on what exactly defines eac. A new invasive hawkweed, hieracium glomeratum lactuceae.
Isnardia intermedia, isnardia repens, ludwigia natans, ludwigia natans var. Erythema gyratum repens an overview sciencedirect topics. Annular erythema is not a diagnostic term but rather a description of a spreading erythematous eruption with an annular ringshaped appearance. Links to pubmed are also available for selected references. The most common include lung carcinoma, oesophageal carcinoma and breast carcinoma. Characteristic concentric erythematous bands forming a woodgrain appearance help distinguish erythema gyratum repens from other similar dermatoses, such as erythema annulare centrifugum. Mar 27, 2019 erythema gyratum repens egr is a figurate erythema that is believed to be a paraneoplastic process. Erythema gyratum repens egr is a rare and characteristic, paraneoplastic rash associated with a variety of malignancies, most notably lung, esophageal, and breast cancers.
Briq the record derives from ildis data supplied on 20100714 which reports it as a synonym record 29420. As skin lesions are frequently the first signs of various types of malignant lymphoma, he is often in a position to suspect. Plants have long, creeping rhizomes with sharppointed torpedolike tips. It is a relatively slow grower but is produced in large numbers by in vitro propagation for trade. Most of the body is covered in numerous serpiginous bands arranged in. South african national biodiversity institutes sanbi. Quackgrass is a perennial, coolseason, rhizomatous grass. Annular erythema primary care dermatology society uk. A cavitating mass at the right lung apex was resected and proved to be tuberculous.
The condition is usually present at birth or occurs during the first year but may begin later in childhood or even in early. Initial symptoms can be uncharacteristic, wood grain pattern lesions develop only in mature stages. Nevertheless, a diagnosis of erythema gyratum repens warrants an in depth search for possible underlying malignancies. Erythema gyratum repens egr is rare, and the primary lesion is a serpiginous macular, occasionally popular, erythema 210. Staurogyne repens proved to be an excellent, moderately demanding, highly versatile aquarium plant shortly after its introduction. Characteristic concentric erythematous bands forming a woodgrain appearance help distinguish erythema gyratum repens from other similar dermatoses, such. Erythema gyratum repens is not an obligate paraneoplastic. Il sagit dune erythematose generalisee extremement rare. Erythema gyratum repens like eruptions with large cell transformation in a patient with mycosis fungoides. This little charmer has been blooming in our garden since june. Erythema gyratum repens with pulmonary tuberculosis.
Erythema gyratum repensan immunologically mediated dermatosis. Erythema gyratum repense like eruption in bullous pemphigoid. Treating erythema gyratum repens generally involves resolving the underlying affliction. Erythema gyratum repens egr is a rare paraneoplastic skin condition characterized by the eruption of expanding, concentric, erythematous patches and plaques. Erythema gyratum repens is a rare paraneoplastic type of annular erythema with a distinctive figurate woodgrain appearance. Feb 18, 2012 ludwigia repens colors vary depending on the lighting, they are a light green when in 2 wpg light color red on 3 wpg and a very rich color of red in 4 wpg and brighter, but this plant can grow red under as little as 2 wpg with a good amount of ferts, co2 and a little flow. Ludwigia repens colors vary depending on the lighting, they are a light green when in 2 wpg light color red on 3 wpg and a very rich color of red in 4 wpg and brighter, but this plant can grow red under as little as 2 wpg with a good amount of ferts, co2 and a little flow. Gypsophila, creeping babys breath gypsophila repens rosea. Eftekhari h, darjani a, nazari m, shafaei s, yousefkhani l,nickhah n. Erythema gyratum repens egr, first described by gammel,1 in 1952, is a rare paraneoplastic syndrome typically associated with an underlying malignancy. Dermis erythema gyratum repens gammel information on the. Erythema gyratum repens changes rapidly, migrating up to a centimeter a day. The eruption is rapidly migrating and composed of concentric rings forming a woodgrain pattern.
Coppershine is fast growing and has glossy foliage with a copperbronze tinge that becomes darker in winter. In about of cases the disease is not tumorassociated. Within 3 weeks of supplementary azathioprine treatment, the patient reported. Staurogyne repens deficiency hey yohan, i missed your post since ive been busy in real life the last week or so, also in the future if you post a thread in the deficiency forum ive subscribed to it so i get updates whenever anyone posts in there. Staurogyne repens deficiency plant deficiencies aquatic. Get a printable copy pdf file of the complete article 644k, or click on a page image below to browse page by page. Dermis erythema gyratum repens gammel information on. A cavitating mass at the right lung apex was resected and proved. Leaf sheaths can be glabrous or hairy and the ligule is membranous with short. Erythema gyratum repens egr is a figurate erythema that is believed to be a paraneoplastic process. Erythema marginatum definition of erythema marginatum by.
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