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 Mellitus: Report of Cases. Arch Dermatol. 1968;98(2):152–154. doi:10.1001/archderm.1968.01610140050011
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