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Definition

Granuloma annulare is a long-term (chronic) skin disease consisting of a rash with reddish bumps arranged in a circle or ring.

Causes, incidence, and risk factors

Granuloma annulare most often affects children and young adults. It is slightly more common in girls.

The condition is usually seen in otherwise healthy people. Occasionally, it may be associated with Diabetes or thyroid disease. Its cause is unknown.

Symptoms

Granuloma annulare usually causes no other symptoms, but the rash may be slightly itchy.

Patients usually notice a ring of small, firm bumps (papules) over the backs of the forearms, hands, or feet. Occasionally, multiple rings may be found.

Rarely, granuloma annulare may appear as a firm nodule under the skin of the arms or legs.

Signs and tests

Your physician may consider the diagnosis of fungal infection when looking at your skin. A skin scraping and KOH test can be used to tell the difference between granuloma annulare and a fungal infection.

A skin biopsy may also be necessary to confirm the diagnosis of granuloma annulare.

Treatment

Because granuloma annulare is usually asymptomatic (causes no symptoms), treatment may not be necessary except for cosmetic reasons.

Very strong topical steroid creams or ointments are sometimes used to speed the disappearance of the lesions. Injections of steroids directly into the rings may also be effective. Some physicians may choose to freeze the lesions with liquid nitrogen.

In severe cases, ultraviolet light therapy (PUVA) or oral medications may be needed.

Expectations (prognosis)

Most lesions of granuloma annulare disappear with no treatment within two years. Sometimes, however, the rings can remain for many years. The appearance of new rings years later is not uncommon.

Calling your health care provider

Call your physician if you notice a ring anywhere on your skin that does not go away within a few weeks.

References

Morelli JG. Diseases of the dermis. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics.18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 658.

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Is desonide for granuloma annulare?

Desonide is a topical corticosteroid that can be used to treat various skin conditions, including granuloma annulare. It helps reduce inflammation and alleviate symptoms such as itching and redness associated with the condition. However, treatment should be guided by a healthcare professional, as granuloma annulare can sometimes resolve on its own without intervention. Always consult a dermatologist for personalized advice and treatment options.


Is Granuloma Annulare Dangerous?

Granuloma annulare is generally not considered dangerous; it is a benign skin condition characterized by ring-shaped lesions. It often resolves on its own without treatment and is not associated with any serious health risks. However, if lesions are extensive or symptomatic, it's advisable to consult a healthcare professional for management options.


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