Disseminated Granuloma Annulare. Presented by L. M. Pomerantz, MD.
A 71-year-old white woman in July 1967 developed an asymptomatic eruption involving the antecubital areas, groins, thighs, axillae, and forearms. New lesions have continued to develop, and there has not been complete resolution of any of the initial lesions. Her general health is good. A recent work-up by the patient's internist was negative except for mild hypertension.Infiltrated, erythematous, nodular plaques approximately 8 cm in diameter involve both forearms. Symmetrical involvement of the cubital areas, axillae, groins, lateral and posterior thighs is present, with large erythematous patches showing distinctly nodular borders. Discrete and confluent 2 to 4 mm erythematous nodules are scattered over the trunk and extremities. Some of these lesions blanch and appear yellow or ivorycolored with diascopic pressure.
The following laboratory studies were either negative or within normal limits: complete blood count (CBC), urinalysis, serum cholesterol, serum phosphorus,
THE METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES. Arch Dermatol. 1969;99(4):505-510. doi:10.1001/archderm.1969.01610220133023