Annulare Granuloma in children: case series

Abstract

Backgroung: Granuloma annulare is a benign, self-limited dermatosis of unknown etiology, more frequent in women and characterized by papules that usually adopt an annular configuration. According to its presentation, it has been classified as: localized, generalized, subcutaneous and perforating. The diagnosis is clinical, but in doubtful cases, histopathological and dermoscopic studies are used. Its course is generally self-limited so expectant behavior is the most appropriate. Description of clinical cases: Three pediatric cases evaluated in the External Consultation of the Dermatology Service, Hospital Escuela, are presented, for lesions located mainly in the hands and feet. Cases 1 and 2 typically correspond to a localized granuloma annulare. Case 3 presented unusual lesions, papules of 1 to 3 mm diameter with central umbilication, clinically corresponding to a rare variant of papular umbilicated granuloma annular. Biopsy confirmed the diagnosis of granuloma annulare in all 3 cases. Conclusions: Knowledge of this relatively frequent pathology will allow the medical profession in general and pediatricians in particular to recognize that it is a disease that has a benign and self-limiting course, thus avoiding aggressive and unnecessary procedures.