Subcutaneous Granuloma Annulare: A Review of 47 Cases

The purpose of this study was to review and provide information regarding characteristic findings, diagnostic work-up, course, and treatment associated with subcutaneous granuloma annulare (SGA). The medical and surgical records of 47 patients with SGA, who were diagnosed and treated at our institut...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1997-12, Vol.100 (6), p.965-967
Main Authors: Felner, Eric I, Steinberg, Joel B, Weinberg, Arthur G
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Child
Child, Preschool
Children
Dermatology
Diagnosis, Differential
Diseases
Granuloma
Granuloma Annulare - diagnosis
Granuloma Annulare - pathology
Granuloma Annulare - surgery
Humans
Infant
Medical disorders
Medical sciences
Pediatric diseases
Pediatrics
Prognosis
Skin diseases
Skin involvement in other diseases. Miscellaneous. General aspects
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Summary:The purpose of this study was to review and provide information regarding characteristic findings, diagnostic work-up, course, and treatment associated with subcutaneous granuloma annulare (SGA). The medical and surgical records of 47 patients with SGA, who were diagnosed and treated at our institution over the past 26 years, were reviewed. All patients presented with a painless soft tissue nodule(s) of the extremities or scalp. The mean age at presentation was 4.3 years, with 19% of the patients encountering one or more recurrences. The mean time of recurrence was 10 months. Definitive diagnosis in all patients was made by biopsy, and no patient progressed to any recognized systemic illness or connective tissue disorder. SGA is a benign inflammatory skin lesion that should be considered in the differential diagnosis of a subcutaneous nodule(s) of the scalp and/or distal extremities of an otherwise healthy child. Because the nodule(s) are benign and may recur with or without surgical biopsy, reassurance is the best management.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.100.6.965