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Granuloma Annulare and Necrobiosis Lipoidica in the Same Patient. Presented by Fred F. Feldman, MD.
A 23-year-old white woman noted an eruption of her right wrist in 1961, diagnosed by a dermatologist as granuloma annulare. A biopsy was not performed. The eruption subsided following four treatments with solid carbon dioxide but recurred one year later and has been persistent ever since. Five years ago a plaque appeared on the right pretibial region following trauma to the leg.A firm, pinkish-yellow plaque, approximately 2.5 cm in diameter, occupies the mid pretibial region of the right leg. The surface is shiny and telangiectatic. On the volar aspect of the right wrist are irregularly shaped annular lesions with firm skin-colored elevated borders and clearing centers. Papules of varying sizes are present in the same area.There is no personal or family history of diabetes mellitus.Urinalysis was negative. A glucose tolerance test was
THE LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Dermatol. 1968;98(6):677-678. doi:10.1001/archderm.1968.01610180121019