St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia

    Print-Friendly
    Bookmarks

    Granuloma annulare

    Granuloma annulare is a long-term (chronic) skin disease consisting of a rash with reddish bumps arranged in a circle or ring.

    Causes

    Granuloma annulare most often affects children and young adults. It is slightly more common in females.

    The condition is usually seen in otherwise healthy people. Occasionally, it may be associated with diabetes or thyroid disease. Its cause is unknown.

    Symptoms

    Granuloma annulare usually causes no other symptoms, but the rash may be slightly itchy.

    Patients usually notice a ring of small, firm bumps (papules) over the backs of the forearms, hands, or feet. Occasionally, they may find a number of rings.

    Rarely, granuloma annulare may appear as a firm nodule under the skin of the arms or legs. In some cases, the rash may spread all over the body.

    Exams and Tests

    Your health care provider may think you have a fungal infection when looking at your skin. A skin scraping and KOH test can be used to tell the difference between granuloma annulare and a fungal infection.

    You may also need a skin biopsy to confirm the diagnosis of granuloma annulare.

    Treatment

    Because granuloma annulare usually causes no symptoms, you may not need treatment except for cosmetic reasons.

    Very strong steroid creams or ointments are sometimes used to clear up the rash more quickly. Injections of steroids directly into the rings may also be effective. Some health care providers may choose to freeze the bumps with liquid nitrogen.

    People with severe or widespread cases may need ultraviolet light therapy or medicines that suppress the immune system.

    Outlook (Prognosis)

    Most granuloma annulare disappears without treatment within 2 years. Sometimes, however, the rings can remain for many years. The appearance of new rings years later is not uncommon.

    When to Contact a Medical Professional

    Call your health care provider if you notice a ring anywhere on your skin that does not go away within a few weeks.

    References

    Habif TP. Cutaneous manifestations of internal disease. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 26.

    Morelli JG. Diseases of the dermis. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 658.

    BACK TO TOP

    • Granuloma annulare - clo...

      illustration

    • Granuloma annulare on th...

      illustration

    • Granuloma, annulare on t...

      illustration

    • Granuloma, annulare on t...

      illustration

      • Granuloma annulare - clo...

        illustration

      • Granuloma annulare on th...

        illustration

      • Granuloma, annulare on t...

        illustration

      • Granuloma, annulare on t...

        illustration

      Review Date: 7/11/2012

      Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

      The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
      adam.com

      A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.


      Back  |  Top
      About Us
      Contact Us
      History
      Mission
      Locations & Directions
      Quality Reports
      Annual Reports
      Honors & Awards
      Community Health Needs
      Assessment

      Newsroom
      Services
      Brain & Spine
      Cancer
      Heart
      Maternity
      Orthopedics
      Pulmonary
      Sleep Medicine
      Urgent Care
      Women's Services
      All Services
      Patients & Visitors
      Locations & Directions
      Find a Physician
      Tour St. Luke's
      Patient & Visitor Information
      Contact Us
      Payment Options
      Financial Assistance
      Send a Card
      Mammogram Appointments
      Health Tools
      My Personal Health
      mystlukes
      Spirit of Women
      Health Information & Tools
      Clinical Trials
      Health Risk Assessments
      Employer Programs -
      Passport to Wellness

      Classes & Events
      Classes & Events
      Spirit of Women
      Donate & Volunteer
      Giving Opportunities
      Volunteer
      Physicians & Employees
      For Physicians
      Remote Access
      Medical Residency Information
      Pharmacy Residency Information
      Physician CPOE Training
      Careers
      Careers
      St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
      Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile