A 29-year-old woman presented in the 31st week of pregnancy with an un
usual bilateral, erythematous eruption on the posterior calves, which
clinically resembled erythema annulare centrifugum. A biopsy showed fe
atures of a mild leucocytoclastic vasculitis. Within 2 days of deliver
y the rash had almost resolved, suggesting that its activity was relat
ed to the pregnancy. The diagnosis is consistent with 'annular vasculi
tis', which we suggest represents a distinct variant of leucocytoclast
ic vasculitis, and a distinct clinicopathological entity. We are not a
ware of any previous reports of an association between annular vasculi
tis and pregnancy.