A Case of Recurrent Disseminated Granuloma Annulare

ATJ Goon, SS Wong
Correspondence: Dr Anthony Goon Teik Jin

ABSTRACT
We present an 11-year-old boy who developed multiple pruritic, skin-coloured papules on his forehead, which subsequently spread to his trunk and limbs over a period of 6 months. Histology revealed granuloma annulare. The lesions underwent spontaneous regression over the next five years. He presented again when he was 18 years old, with a spontaneous eruption of multiple lesions on the trunk and the limbs 2 years after complete clinical remission from the first attack. A punch biopsy performed at this presentation revealed granuloma annulare again. No treatment was given and he is still being followed up. The tendency for spontaneous resolution of granuloma annulare is well recognised. Recurrent localized lesions often disappeared more rapidly than the original ones. Recurrence of disseminated GA, to our knowledge, has not been reported before.

Keywords: Granuloma annulare, disseminated, recurrent
Singapore Med J 2000; 41(8): 405-406