TY - CHAP M1 - Book, Section TI - Granuloma Annulare 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. Y1 - 2019 N1 - T2 - The Color Atlas and Synopsis of Family Medicine, 3e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - dermatology.mhmedical.com/content.aspx?aid=1164361809 ER -