In the past decade, many papers on dermatoses occurring simultaneously in identical twins have been reported in the dermatological literature. No adequate theory has been advanced for this phenomenon. Sharlit1 believes that it is merely coincidence. Granuloma annulare is not included in the long list of dermatoses in twins in the 1,381-page treatise of Gedda.2 Recently, we observed identical twins, both with granuloma annulare (Fig. 1).
REPORT OF CASES
Paula R., a 9-year-old white girl, was first seen at the skin outpatient department of the Memorial Hospital, Pawtucket, R. I., in August, 1951, complaining of a lesion located on the left wrist, of one month's duration (Fig. 2). She had always been in good health. There was no incidence of tuberculosis in the family. Examination revealed cutaneous waxy papules, forming an almost complete circle, measuring 2.5 cm. in diameter, on the anterior aspect of the left wrist. The center was