Differential Diagnosis > Morphology > Color > Red > Annular Erythema

Annular Erythema

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•EAC trailing scale
•erythema chronicum migrans
•erythema marginatum especially axilla
•erythema gyratum repens
•gyrate erythema NOS (aka annular erythema NOS) (see below)
•urticaria

 

 

 

"annular erythema" NOS

~ analogous to Weedon’s histologic group “gyrate erythemas”:

•= a heterogeneous group with ~ similar histology
•a tight perivascular lymphohistiocytic infiltrate (the infiltrate is well demarcated and has a coat sleeve distribution, (which at times involves the vessel walls in the manner of a lymphocytic vasculitis)
•superficial gyrate erythema (~EAC)
•only the superficial vascular plexus
•epidermis with slight spongiosis and focal parakeratosis
•deep gyrate erythema – (e. migrans, otherwise simply called “deep gyrate erythema” or “deep EAC”)
•similar infiltrate involves both superficial and deep vascular plexuses
•epidermis is normal