Granuloma annulare is a long-term (
Causes, incidence, and risk factors
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.
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.
Signs and tests
Your health care provider may think you have a fungal infection when looking at your skin. A skin scraping and
You may also need a
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.
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.
Calling your health care provider
Call your health care provider if you notice a ring anywhere on your skin that does not go away within a few weeks.