“…The etiology and pathogenesis are unknown [4]. It is believed that EAC represents a cutaneous manifestation of a type IV hypersensitivity reaction to different causes and underlying systemic diseases, including: food allergy, arthropod bites, drug reactions (finasteride, chloroquine, hydroxychloroquine, hydrochlorothiazide, piroxicam, etizolam, cimetidine, penicillin, salicylates, spironolactone, gold sodium thiomalate, amitriptyline, ustekinumab, rituximab), infections disease (bacterial, viral, parasitic, fungal, mycobacterial), endocrine and immunological disorders (menstrual cycle, Graves disease, Hashimoto thyroiditis, Sjögren syndrome, autoimmune progesterone dermatitis), hematological and other neoplastic disorders (Hodgkin lymphoma, non-Hodgkin lymphoma, acute leukemia, histiocytosis, multiple myeloma, nasopharyngeal carcinoma, prostatic adenocarcinoma, breast carcinoma, ovarian carcinoma) [5–10]. Treatment and eradication of the underlying disease often resolves EAC.…”