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Journal of the American Academy of Dermatology
Volume 42, n° 3
pages 417-421 (mars 2000)
Doi : 10.1016/S0190-9622(00)90212-3
accepted : 3 August 1999
Patch granuloma annulare: Clinicopathologic study of 6 patients

Diya F. Mutasim, MD, Alina G. Bridges, DO
Department of Dermatology, University of Cincinnati Medical Center. Cincinnati, Ohio 


Background: Granuloma annulare is a common skin disorder that usually presents with smooth papules arranged as annular plaques. Variants, such as disseminated, subcutaneous, and perforating granuloma annulare, have been described. Objective: The purpose of this study is to describe the clinical and histologic features of a distinct patch form of granuloma annulare. Methods: The clinical and histologic features of 6 patients with patch granuloma annulare were evaluated. Results: Six women 27 to 72 years of age had patches on the extremities. Two patients also had a lesion on the trunk. Only one patient had annular patches. Histologic examination showed an interstitial infiltrate of lymphocytes and histiocytes with diffuse necrobiosis. Conclusion: Patch granuloma annulare is a distinct variant with rather subtle clinical and histologic features. A high index of suspicion both clinically and histologically aids in making the diagnosis. (J Am Acad Dermatol 2000;42:417-21.)

The full text of this article is available in PDF format.

 Reprint requests: Diya F. Mutasim, MD, Department of Dermatology, University of Cincinnati, PO Box 670592, Cincinnati, OH 45267-0592.

© 2000  American Academy of Dermatology, Inc. Published by Elsevier Masson SAS@@#104157@@
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