Ann Dermatol.  1996 Jul;8(3):223-226. 10.5021/ad.1996.8.3.223.

A Case of Disseminated Perforating Granuloma Annulare in a Child

• Lee SY
• Han KP
• Choi KC
• Kim YK

• KMID: 2360495
• DOI: http://doi.org/10.5021/ad.1996.8.3.223

Abstract

Granuloma annulare is a common, benign, inflamatory, usually self-limited dermatosis. Disseminated perforating granuloma annulare is a rare variant of granuloma annulare. A 23-month-old female patient had asymptomatic, multiple umbilicated papules on the face, limbs including palms and soles, buttock and trunk for about 5 months. The new lesions have developed with mild fever or symptoms of upper respiratory infection. Histopathological examination revealed transepidermal elimination of mucinous degenerated collagen fibers and surrounding palisading lymphohistiocytic granuloma. After she was treated with prednisolone and antibiotics, the lesions slightly resolved, but thereafter, new lesions have developed frequently with mild fever. We herein reported a rare case of disseminated perforating granuloma annulare in the youngest patient yet reported.

Keyword

Disseminated perforating granuloma annulare; Transepidermal elimination

MeSH Terms

Anti-Bacterial Agents
Buttocks
Child*
Collagen
Extremities
Female
Fever
Granuloma Annulare*
Granuloma*
Humans
Infant
Mucins
Prednisolone
Skin Diseases
Anti-Bacterial Agents
Collagen
Mucins
Prednisolone