RT Book, Section
A1 Mauskar, Melissa M.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164361809
T1 Granuloma Annulare
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164361809
RD 2024/04/23
AB A  39-year-old  woman  presents  with  raised  rings  on  her  right  hand.  Not  knowing  the  correct  diagnosis,  another  physician  prescribed  topical  steroids  and  antifungal  medicines  with  no  benefit.  The  diagnosis  of  granuloma  annulare  (GA)  was  made  by  the  typical  clinical  appearance,  and  the  patient  was  offered  intralesional  steroids.  Triamcinolone  acetonide  was  injected  as  seen  in  Figure  182-1A.  The  patient  noted  improvement  over  the  subsequent  weeks,  but  within  a  month  new  lesions  began  to  appear  on  her  other  hand  (Figure  182-1B).  Additional  injections  were  provided  and  1  month  later  the  patient  had  regression  of  the  treated  lesions  but  had  new  lesions  on  the  right  arm  (Figure  182-2A).  At  the  next  visit,  the  patient  had  new  lesions  on  her  feet  as  well  (Figure  182-2B).  The  diagnosis  of  disseminated  GA  was  made  and  systemic  treatment  was  started.