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January 1982

Perforating Granuloma Annulare and Scleritis

Author Affiliations

From the Department of Dermatology, University of Glasgow, Anderson College Building (Dr Dick); Tennent Institute of Ophthalmology, Western Infirmary (Dr Syme); Glasgow, Scotland.

Arch Dermatol. 1982;118(1):67-68. doi:10.1001/archderm.1982.01650130071028

Most cases of granuloma annulare are of unknown etiology and, similarly, a large proportion of cases of scleritis are idiopathic, although an association occurs with rheumatoid arthritis.1 We wish to report the occurrence, in one patient, of scleritis with granuloma annulare, an association that, to our knowledge, has not been described before. We believe that the association of these two disorders in our patient is more than fortuitous, since the time between the onset of each disorder was short, both disorders resolved simultaneously, and both share the common pathologic features of granuloma formation.

Report of a Case  A 60-year-old man was seen in July 1978 because of the sensation of a foreign body in one eye, attributable to peripheral corneal infiltration typical of a localized hypersensitivity reaction. He was otherwise in good general health and had an unremarkable medical history. His mother had maturity-onset diabetes, but no other relative

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