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Granuloma Annulare

Stephen C. Sears, DO and Adam K. Saperstein, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

Granuloma annulare (GA) is a benign skin condition characterized by groups of skin-colored to erythematous papules that are usually in an annular (ring-like) pattern and typically lo...

DIAGNOSIS

HISTORY

Cutaneous lesions of GA are generally asymptomatic. Lesions often persist for months or years, especially in patients who have generalized GA. In most cases, regardless of subtype, GA...

TREATMENT

GENERAL MEASURES

GA is a self-limited condition that is likely to regress spontaneously. The clinician’s primary role after making the diagnosis is to educate the patient about the natural hi...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Routine follow-up is not required unless treatment is initiated. In such situations, follow-up is recommended to monitor for possible adverse effects of treatment...

REFERENCES

1
Piette EW, Rosenbach M. Granuloma annulare: clinical and histologic variants, epidemiology, and genetics. J Am Acad Dermatol.  2016;75(3):457–465. [View Abstract on OvidMedline]
2
Piet...

ADDITIONAL READING

  • De Paola MD, Batsikosta A, Feci L, et al. Granuloma annulare, autoimmune thyroiditis, and lichen sclerosus in a woman: randomness or significant association? Case Rep Dermatol Med. ...

CODES

ICD10

L92.0 Granuloma annulare 

ICD9

695.89 Other specified erythematous conditions 

SNOMED

  • 65508009 Granuloma annulare (disorder)

  • 402363004 Localized granuloma annulare

  • 402364005 Generalized granuloma...

CLINICAL PEARLS

  • GA is benign, self-limited condition. Consider risk-to-benefit ratio when partnering with patients to determine treatment.

  • When initiating therapy for localized GA, start with high-dose...

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