Three patients with widespread papular granuloma annulare lesions and previously undetected diabetes mellitus are described. A peculiar clinical feature included serpiginous papules on the dorsa of the hands along with typical granuloma annulare lesions. Utilizing a standard glucose tolerance or cortisone glycosuria tests defined the underlying diabetic state.
Romaine R, Rudner EJ, Altman J. Papular Granuloma Annulare and Diabetes MellitusReport of Cases. Arch Dermatol. 1968;98(2):152-154. doi:10.1001/archderm.1968.01610140050011