Granuloma annulare (GA) may be a common condition. GA may be a self-limited cosmetic disease with none systemic medical complications. GA has been epidemiologically linked to diabetes mellitus, necrobiosis lipoidica diabeticorum, and rheumatoid nodules. It seems most frequently over knuckles and different joints or in places that are subject to frequent, gentle injury like the rear of the hands or prime of the feet. it's seen most frequently in older youngsters and young adults. Granuloma annulare (GA) may be a benign self-limited dermatosis characterised by a raised annular configuration. typically it seems at the location of a previous penetrating injury. PG is usually observed in infancy and childhood however conjointly could also be observed in adults, significantly in pregnant girls. PG may be a benign vascular tumor, principally occurring in childhood. Lesions could bleed and ulcerate.
PG could have an effect on white populations quite different racial teams, however this can be not well proven and therefore the observation could mirror sampling bias. GA is sometimes quite widespread (generalized GA) and this might be a wholly completely different condition. GA has been related to diabetes mellitus and thyroid disease based mostly on an increased variety of GA patients with these diseases in little case series. Most patients are over age forty, and there's usually severe itching. Patients with generalized GA characteristically gift with a number of to thousands of 1- to 2-mm papules or nodules that vary in color from flesh-toned to erythematous and involve multiple body regions and patients with subcutaneous GA gift with a firm, nontender, flesh-colored or pinkish nodule while not overlying epidermal alteration.
Causes of Granuloma Annulare
1.Granuloma annulare.
2.Pyogenic granuloma.
3.Diabetes mellitus.
4.Herpes zoster lesions
Symptoms of of Granuloma Annulare
1.Reddish or skin-colored bumps (lesions).
2.Mild itching.
3.Nodule below the skin of the arms or legs.
Treatment of Granuloma Annulare
Troublesome patches could improve using steroid creams or ointments, or sometimes steroid injections into the rings. typically it's useful to use a powerful steroid preparation to the skin or steroids may be injected into the bumps themselves. little plaques may be frozen (cryotherapy). Topical imiquimod and topical calcineurin inhibitors (tacrolimus and pimecrolimus) are reported to assist individual cases. Surgical tape saturated with a corticosteroid, or injected corticosteroids could facilitate clear up the rash. individuals with massive affected areas usually enjoy treatment that mixes phototherapy (exposure to ultraviolet light) with the employment of psoralens (drugs that build the skin additional sensitive to the results of ultraviolet light). This treatment is termed PUVA (psoralens and ultraviolet A).
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