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Granuloma annulare
Granuloma annulare is an eruption characterized by the development of small flesh-colored to red papules which, over weeks or months, expand peripherally with central clearing.
The edge of this larger lesion is composed of multiple red to flesh colored discrete papules. The center frequently shows some post-inflammatory hyperpigmentation.
Lesions may be solitary or multiple.
There is a predilection for the skin around joints.
Treatment:
Localized:
- Cryotherapy
- Intra-lesional corticosteroids
Generalized:
- PUVA
- Oral isotretinoin
- Case reports show benefit using Dapsone, cyclosporine, oral corticosteroids, anti-malarial drugs and nicotinamide
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