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SHR Neuro Cancer Cardio Lipid Metab Microb

Beqo, BP; Tschauner, S; Gasparella, P; Brcic, I; Singer, G; Till, H; Haxhija, EQ.
Granuloma Annulare in Children: a rare Lesion
PADIATR PADOL. 2022; Doi: 10.1007/s00608-022-00985-y (- Case Report)
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Leading authors Med Uni Graz
Beqo Besiana
Haxhija Emir
Co-authors Med Uni Graz
Brcic Iva
Gasparella Paolo
Singer Georg
Till Holger
Tschauner Sebastian
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Abstract:
Granuloma annulare (GA) is a rare, benign, self-limiting granulomatous disease of the cutaneous and subcutaneous tissue that occurs in different variants and affects all age groups. The localized variant of GA is characterized by the typical ring-shaped appearance of the dermal papules and is easy to diagnose, especially for a dermatologist. The subcutaneous variant of GA occurs almost exclusively in childhood and is found on well-exposed parts of the body that are easily accessible to trauma, such as the front of the lower leg, the ulnar side of the forearm, the skull, hands, and feet. These lesions can disappear after a few months or remain for years. Different imaging methods are used to clarify these lesions, and ultimately, surgery is often required to confirm the diagnosis, as illustrated in the following case study. A girl first presented at the age of 3.5 years because of a pretibial swelling on the right that had occurred after a fall 2 months before. Owing to the firm consistency of the painless lump, an X-ray, an ultrasound examination, and magnetic resonance imaging were performed under general anesthesia, all of which showed a nonspecific, epifascial, subcutaneous soft-tissue lesion. A further biopsy under general anesthesia revealed the diagnosis of subcutaneous GA. In the course of the next 10 years, the girl developed several subcutaneous and cutaneous GA lesions, all of which resolved on their own. In the case of subcutaneous lesions in areas typical for subcutaneous GA, especially pretibial, a clinical suspicion of this diagnosis should be possible and thus usually spare patients surgical intervention to confirm the diagnosis.

Find related publications in this database (Keywords)
Granulomatous lesions
Dermatosis
Subcutaneous lesions
Benign lesions
Self-limiting disease
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