Spongiotic erythema annulare centrifugum

Clinical Features:

  • Large, annular scaly plaques, most commonly on the trunk of adults
  • May be idiopathic or secondary to a variety of conditions such as infections, autoimmune diseases, drugs or neoplasia.

Histologic Features:

  • Superficial variant (more common):
    • Spongiosis with exocytosis and parakeratosis and papillary dermal edema 
    • Sharply demarcated superficial perivascular lymphocytic inflammation ("coat sleeve" or "cuffing")
  • Superficial and deep variant:
    • Normal epidermis
    • Lymphocytes "cuff" both superficial and deep blood vessels

Cases associated with this book:

  • Erythema annulare centrifugum
    Author: Stephen Lyle, M.D., Ph.D.

    Conference: DermatopathologyConsultations.com Teaching Collection