Clinical Report: Erythema Gyratum Repens Linked to Adenomyosis and Endometriosis
Overview
This case study presents a 37-year-old woman with erythema gyratum repens (EGR) associated with severe adenomyosis and endometriosis. Following a total hysterectomy, the patient's cutaneous symptoms resolved completely within two months.
Background
Erythema gyratum repens (EGR) is a rare dermatosis often linked to paraneoplastic syndromes, but it can also occur in non-paraneoplastic contexts. Understanding potential non-paraneoplastic triggers, such as chronic inflammatory gynecological diseases, is crucial for accurate diagnosis.
Data Highlights
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Key Findings
A 37-year-old woman presented with a 2-year history of pruritic concentric erythematous plaques.
Her clinical presentation was suggestive of EGR, typically associated with paraneoplastic conditions.
Laboratory tests revealed an elevated CA-125 level, prompting further gynecological assessment.
Severe adenomyosis and concomitant endometriosis were diagnosed, leading to a total hysterectomy.
The cutaneous eruption resolved completely within 2 months post-surgery without additional dermatologic treatment.
This case expands the understanding of non-paraneoplastic conditions associated with EGR.
Clinical Implications
Clinicians should consider both paraneoplastic and non-paraneoplastic causes when evaluating patients with EGR.
Conclusion
This case highlights the association of EGR with chronic gynecological conditions.
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