Pityriasis rubra pilaris with erythema gyratum repens-like eruption and resolution with ustekinumab

Author:

Wong Jo-Yve1,Surgenor Laura1,McCourt Collette1

Affiliation:

1. Department of Dermatology Belfast City Hospital Health and Social Services Trust Belfast UK

Abstract

Abstract Erythema gyratum repens (EGR) is a rare paraneoplastic disorder often preceding the diagnosis of underlying malignancy by 9 months on average, while pityriasis rubra pilaris (PRP) is an uncommon papulosquamous inflammatory disease. We present the case of a 58-year-old woman with an EGR-like eruption transforming from resolving PRP, without associated malignancy. Her rash dramatically resolved within a month of ustekinumab initiation, which supports this presentation as a unique entity.

Publisher

Oxford University Press (OUP)

Subject

Dermatology

Reference8 articles.

1. Erythema gyratum repens, not always a bad omen for patients;Demonchy;J Eur Acad Dermatol Venereol,2009

2. Erythema gyratum repens associated with pityriasis rubra pilaris;Almaani;Clin Exp Dermatol,2011

3. Erythema gyratum repens-like eruption after anti-IL-17 therapy of pityriasis rubra pilaris;Gloor;J Eur Acad Dermatol Venereol,2020

4. Pityriasis rubra pilaris treated with methotrexate resolving with an erythema gyratum repens-like appearance;Marchetti;J Eur Acad Dermatol Venereol,2013

5. Transformation from pityriasis rubra pilaris to erythema gyratum repens-like eruption without associated malignancy: a report of 2 cases;Richey;JAAD Case Reports,2018

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