Granuloma annulare subcutaneum L92.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 19.06.2023

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Synonym(s)

Pseudorheumatoid nodules

Definition
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Rare, especially in children but also in adults, eminently chronic variant of granuloma anulare. The nodules or nodules lie deep cutaneously or subcutaneously; they are asymptomatic; also called pseudorheumatic nodules. Associations with diabetes mellitus are disproportionately common.

Manifestation
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Preferably occurring in children, but also in female adults.

Localization
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Lower limb (tibial crest and foot) and capillitium, in adults also above the finger joints and elbows. In children also described several times in the penis area.

Clinical features
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Usually multiple, asymptomatic, skin-colored or reddish-livid, deep dermal or subcutaneous, moderately rough, displaced nodules and nodules 0.5-1.5 cm in size. The skin over the nodules may be reddish in color, or may remain without coloration. Years of existence (5-15 years) is characteristic.

Therapy
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Treatment is not absolutely necessary. Mechanically disturbing granulomas can be excised.

Literature
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  1. Agrawal AK et al (2012) An unusual presentation of subcutaneous granuloma annulare in association with juvenile-onset diabetes: case report and literature review. Pediatr Dermatol 29:202-205
  2. Barzilai A et al (2005) Pseudorheumatoid nodules in adults. Am J Dermatopathol 27: 1-5.
  3. Fathi K et al (2014) Subcutaneous granuloma annulare of the penis associated with a urethral anomaly: case report and review of the literature. Pediatr Dermatol 31:e100-103
  4. Ţăranu T et al (2017) Subcutaneous granuloma annulare. Acta Dermatovenerol Croat 25:292-294.

  5. Toepfer NJ et al. (20111) Three cases of subcutaneous granuloma annulare of the penis: a rare presentation of a common disease. Urology 78:508-510

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Last updated on: 19.06.2023