Erythema Annulare Centrifugum Following Pancreatico‐Biliary Surgery

Abstract

Annular erythemas are distinct cutaneous eruptions associated with a variety of causes. Occurrence of erythema annulare centrifugum, a variant of annular erythemas, in the immediate post-operative period in a patient with surgical intervention in the gall bladder and pancreas region is being described for the first time. Its probable association with surgical trauma is discussed.

Eritemas figurados

“…Entre los principales factores desencadenantes se postulan neoplasias como el cáncer de mama, el cáncer gástrico, las leucemias y los linfomas [10][11][12][13][14][15] , infecciones crónicas por molusco contagioso, Escherichia coli, virus de Epstein-Barr, dermatofitos, tuberculosis, áscaris, rickettsias y Candida [16][17][18][19][20][21][22][23] , fármacos como piroxicam, hidroclorotiazida, amitriptilina, sales de oro, hidroxicloroquina, espironolactona y cimetidina [24][25][26][27][28][29][30][31] , alimentos, trastornos autoinmunitarios, endocrinopatías, discrasias sanguíneas, embarazo y causas hormonales como la menstruación, aunque en muchos casos no se logra encontrar el factor causal 3,4,32 . Otras entidades que se han visto relacionadas son: enfermedad de Graves-Basedow, sarcoidosis, enfermedades ampollosas, trastornos hepáticos, cirugías y estrés [33][34][35][36][37][38][39][40][41] .…”

Erythema annulare centrifugum developed post-breast cancer surgery

“…Rarely, EAC might occur after surgery. Gurvinder reported a case of EAC following pancreaticobiliary surgery and treated successfully by oral antihistamine and topical steroid cream 9 . In this case, we checked for possible etiologies including fungus, hepatitis virus, HSV and autoimmune antibody, all showed negative results.…”

Pemphigus vulgaris presenting as erythema annulare centrifugum

“…It is considered to be a reactive eruption, and the most common underlying cause is a fungal infection, but viral or parasitic infections, drugs, autoimmune conditions, endocrinopathies, hypereosinophilic syndrome, and less frequently, an underlying malignancy, have all been associated. It has also been reported after major surgical procedures . In most cases, the cause cannot be identified.…”

“…It has also been reported after major surgical procedures. 2 In most cases, the cause cannot be identified. Presentation as an immunobullous disorder is rare, but it has been reported mainly with cases of IgA dermatosis.…”