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May 1984

Granuloma Annulare

Author Affiliations

Montefiore Hospital Medical Center 111 E 210th St Bronx, NY 10467

Arch Dermatol. 1984;120(5):578. doi:10.1001/archderm.1984.01650410020008

To the Editor.—  Granuloma annulare (GA) occurs either as localized or generalized asymptomatic papules, often in an annular configuration. The localized form most commonly occurs in the first three decades of life, although patients of all ages may be affected. The generalized type occurs less frequently. Despite a well-described histopathologic and clinical picture, the cause of granuloma annulare is poorly understood.1 We describe a child in whom granuloma annulare developed following an episode of varicella.

Report of a Case.—  A 4-year-old girl was seen for the first time in March 1982. She had a one-month history of a nonpruritic eruption on her legs and buttocks. This eruption occurred six weeks after an apparently uncomplicated case of varicella. The parents noted "scars" at the sites of the previous lesions of varicella and indicated that the new lesions did not arise at the same sites as the varicella lesions. Physical examination

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