Table of Content


Spring 2015, Vol. 23 No. 1

Hong Kong J. Dermatol. Venereol. (2015) 23, 29-32

Paediatric Dermatology Column: Case Report

Subcutaneous granuloma annulare: a paediatric case


SM Wong 黃思敏 and KK Jong 莊國坤


Subcutaneous granuloma annulare (GA) is a rare but self-limiting inflammatory disorder of skin that occurs over the scalp, shins or dorsal surface of the hands and feet. The lesions typically present in children aged 3-6 years. A biopsy of the skin lesion is often required for definitive diagnosis. Most lesions show spontaneous resolution but the recurrence rate is high. Due to the rarity of the disease, no single treatment has been proved to be efficacious in promoting resolution or preventing recurrence. Nevertheless, the outcome is good. We described a case of 4-year-old girl presenting with asymptomatic lesions over the dorsal foot with skin biopsy-proven subcutaneous GA and a good response to topical corticosteroid.


Keywords: Granuloma annulare, necrobiotic, palisading, subcutaneous

關鍵詞: 環狀肉芽腫、漸進性壞死、柵欄、皮下