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Image Number 1373 (Granuloma annulare)


Diagnosis: Granuloma annulare

Site: Arm,forearm

Sex: M

Age: 58


Description: Annular plaques with beaded papular border.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: Perforating Granuloma Annulare usually appears on the dorsal hands and presents as papules with a central keratotic core. This core represents transepidermal eliminat~on of the degenerated material in the center of GA lesions. Here is a case of generalized perforating GA in a healthy individual (no DM or any other systemic disease)

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