Erythema Annulare Centrifugum. Presented by Dr. Fred Wise.
J. C., a girl aged 2 years and 3 months, has had intermittent eruptions of urticaria papulosa since she was 3 months of age. The baby's general health has been excellent, and the eruptions seem to be uninfluenced by dietetic restrictions. About two months ago a gyrate eruption appeared on the abdomen and the thighs; the lesions occurred at irregular intervals, lasting a week to ten days, and faded spontaneously at different intervals.Examination showed widespread, well defined, ringed lesions, varying in diameter from 4 to 8 inches (10 to 20 cm.), on the abdomen, buttocks and thighs. The borders were 1/4 inch (0.6 cm.) broad, bright red, and faintly elevated at their outer edges, while the inner edges sloped toward the interior of the circles, which showed no visible changes. The mother stated that the ringed lesions disappeared promptly after the