Granuloma annulare with Juxta-articular nodules: A case report

Authors

  • Shehla Shaukat KEMU/ Mayo Hospital Lahore
  • Mahwish Zahoor Department of Dermatology Unit-I, KEMU/ Mayo hospital, Lahore
  • Amina Afzal Department of Dermatology Unit-I, KEMU/ Mayo hospital, Lahore
  • Maryam Rafat Hamid Latif Hospital, Lahore
  • Ijaz Hussain Department of Dermatology Unit-I, KEMU/ Mayo hospital, Lahore

Keywords:

Granuloma annulare, necrobiotic granuloma, diabetes mellitus

Abstract

Abstract:Granuloma Annulare is a benign cutaneous disease. Juxta-articular nodules are rarely seen among adults. These nodules are a considered as subcutaneous form of granuloma annulare. We are reporting a case of an adult male with this rare presentation along with history of associated diabetes mellitus.  The biopsy confirmed the diagnosis of granuloma annulare and the patient responded to intralesional steroids and oral isotretinoin therapy.

Author Biography

Shehla Shaukat, KEMU/ Mayo Hospital Lahore

Assistant professor, dermatology unit -1, KEMU/mayo hospital, lahore

References

Piette EW, Rosenbach M. Granuloma annulare: Pathogenesis, disease associations and triggers, and therapeutic options. J Am Acad Dermatol. 2016;75(3):467-79.

Piette EW, Rosenbach M. Granuloma annulare: Clinical and histologic variants, epidemiology, and genetics. J Am Acad Dermatol. 2016;75(3):457-65.

Reyes-Baraona, Francisco, Hasbún, Paula, González, Sergio, & Zegpi, María Soledad. Subcutaneous granuloma annulare: a case report. Revista chilena de pediatría. 2017;88(5):652-55.

Reisenauer A, White KP, Korcheva V, White Jr CR. “Non-infectious Granulomas” in Dermatology Third edn. Eds. Bolognia JL, Jorizzo JL, Schaffer JV. Elsevier Saunders. Philadelphia, Pennsylvania, 2012. pp. 1563-1564.

Grogg KL, Nascimento AG. Subcutaneous granuloma annulare in childhood: clinicopathologic features in 34 cases. Pediatrics. 2001;107(3): E42.

Felner EI, Steinberg JB, Weinberg AG. Subcutaneous granuloma annulare: a review of 47 cases. Pediatrics. 1997;100(6):965-7.

Misago N, Narisawa Y. Subcutaneous granuloma annulare with overlying localized granuloma annulare. J Dermatol. 2010;37(8):755-7.

Rambhia KD, Khopkar US. Asymptomatic Papulo-nodules Localized to One Finger. Ind J Dermtol. 2015;60(5):522.

Wang L, Yang W. A woman with juxta articular nodules-An uncommon form of subcutaneous granuloma annulare. Dermatologica Sinica. 2014;32(2):87-9.

Sturm B, Blaise B, Wilson M, Stone SP. Pseudorheumatoid nodule: a variant of granuloma annulare? Dermatol Online J. 2020;26(5):13030/qt2pn3m129. PMID: 32621699.

Rambhia KD, Khopkar US. Asymptomatic Papulo-nodules Localized to One Finger. Indian J Dermatol. 2015;60(5):522. doi:10.4103/0019-5154.159654

Rambhia KD, Khopkar US. Asymptomatic Papulo-nodules Localized to One Finger. Indian J Dermatol. 2015;60(5):522. doi:10.4103/0019-5154.159654

Reyes-Baraona, F, Hasbún P, González S, Zegpi MS. Subcutaneous granuloma annulare: a case report. Rev chil pediatr. 2017;88(5):652–5. https://doi.org/10.4067/S0370-41062017000500013

Ţăranu T, Grigorovici M, Constantin M, Toader MP. Subcutaneous Granuloma Annulare. Acta Dermatovenerol Croat. 2017 Dec;25(4):292-294. PMID: 30064602.

Ran Cai Z, Mamet F, Kokta V, Coulombe J. Subcutaneous nodules in children: Don't forget deep granuloma annulare: A Case Report. SAGE Open Med Case Rep. 2020 27;8:2050313X20935713. doi: 10.1177/2050313X20935713.

Alajroush W, Abuabat M. A rare presentation of subcutaneous granuloma annulare in an adult patient; A case report. J Dermatol Dermatologic Surg 2016:20;142–5.

Doshi BR, Sajjan VV, Manjunathswamy BS. Disseminated subcutaneous annulare in adult. Indian J Dermatopathol Diagn Dermatol 2019;6:48-50

Downloads

Published

2021-03-04

Issue

Section

Case Reports