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    Granuloma Annulare

    Updated at February 19th, 2022

    Definition

    • Granuloma Annulare (GA) is a bumpy skin condition in the shape of a circle

    Health Information

    Symptoms

    • A bumpy skin condition in the shape of a ring or circle. At the start, it may be a semi circle.
    • The bumps are firm, not soft.
    • The center of the circle is flat and normal skin.
    • The skin on top of GA usually looks normal. Sometimes, it’s a little pink or purple colored.
    • Peak size across is 1 to 2 inches (25 to 50 mm).
    • Usually occurs on the ankle or top of the foot. Can also occur on the wrist or back of the hand. Rarely occurs on the back of the head.
    • The skin over the GA is not attached to the GA. The skin can be moved over the bumps.
    • Sometimes more than one GA is present.
    • Doesn’t cause pain or itching.

    Cause

    • The cause is unknown.

    Prevention of Spread to Others

    • GA is not contagious.
    • In children, it is not associated with any serious diseases.

    Care Advice

    1. Overview:
      • Granuloma annulare is a skin condition that is easy to diagnose.
      • It is harmless and will slowly go away on its own
      • It doesn’t leave any scarring.
      • Here is some care advice that should help.
    2. Treatment of GA:
      • Injection of steroids is sometimes suggested.
      • So are some prescription creams.
      • But none of the proposed treatments are helpful.
      • Patience and the passage of time still works best.
    3. What To Expect:
      • Lasts 2 years on the average. It may last up to 4 years.
      • During that time it may get a little better, then get worse.
      • With time, it goes away on its own.

    Call Your Doctor If

    • It looks infected
    • You think your child needs to be seen
    • Your child becomes worse

    Author: Barton Schmitt MD, FAAP

    Copyright 2000-2020 Schmitt Pediatric Guidelines LLC

    Disclaimer: This health information is for educational purposes only. You the reader assume full responsibility for how you choose to use it. The information contained in this handout should not be used as a substitute for the medical care and advice of your pediatrician. Listing of any resources does not imply an endorsement.

    #AAP