How erythema annulare centrifugum is treated?

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How erythema annulare centrifugum is treated?

General tips to treat erythema annulare centrifugum

  • There is no defenitive treatment of erythema annulare centrifugum.
  • Identify and treat the underlying condition if present.
  • The skin lesions will usually improve, if the underlying condition has been successfully treated.
  • Dermatophytosis is the most common reported associated skin infection, so careful examination of the skin is important. The feet, groin, and nails have to be examined.
  • If no underlying condition is identified, treatment is mainly asymptomatic.
  • In most cases no causative trigger can be detected, and the treatment is empiric and asymptomatic.

Supericial erythema annulare centrifugum
Supericial erythema annulare centrifugum

Treatment options of erythema annulare centrifugum

Topical treatment

  • Topical cortsteroids
    • Topical corticosteroids applied to the advancing border of the lesions
  • Topical calcipotriol
    • once daily.
  • Topical tacrolimus
    • Topical tacrolimus 0.1% ointment twice daily.
  • Topical antipruritics
    • lotions containing menthol, camphor, or pramoxine.

Systemic treatment

  • Systemic steroids
    • Recurrence is common.
  • Sedating antihistamines
  • Antibiotics
    • Azithromycin : 250 mg once daily until clinical improvement or a maximum of three weeks.
    • Erythromycin stearate : (1000 mg per day) for 2 weeks.
    • Metronidazole : (400 mg per day) for six weeks.
  • Phototherpay
    • Natural sunlight exposure.
    • NB-UVB
      • start at 0.25 J/cm2 and increased in 20% increments.
  • Other options


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