Granuloma Annulare Treatments

Granuloma Annulare (necrobiotic papulosis) is characterized by raised reddish or skin-colored bumps in ring patterns, typically on the hands, wrists, feet and ankles, although, it can occur anywhere on the body. The condition is not painful (unless the affected area is hit) or itchy, but many patients feel self-conscious about the lesions, which may morph and move over time, especially those on the hands. Some cases resolve on their own within a year or two. Symptoms lasting longer than a few weeks, however, should be evaluated by a dermatologist.

Causes: The cause of granuloma annulare is not known, but it may be triggered by certain medications, skin injuries (such as insect or animal bites), viral infections (including hepatitis, herpes and HIV), vaccinations, tuberculin skin tests, and sun exposure. Widespread granuloma annulare occasionally may be associated with thyroid disease, diabetes, tumors or HIV.

Symptoms:  There are three main types of granuloma annulare. The most common type is isolated, with skin-colored lesions up to 2 inches in diameter on the knuckles, hands, elbows, wrists, feet and ankles of children and adolescents. Generalized granuloma annulare is often itchy and more widespread, often covering the trunk, armpits, arms, groin and legs of adults. Subcutaneous granuloma annulare most often involves painless small lumps under the skin on the fingertips, hands, scalp, buttocks and shins of children.

Basic Formula for recovery/healing/improvement:  Generally granuloma annulare can be diagnosed by visual examination. A skin biopsy may be required in some cases to rule out other conditions. Sometimes the lesions may disappear on their own in a few months, though widespread granuloma annulare may persist for years. Treatment options include topical corticosteroid ointments or injections, freezing the lesions with liquid nitrogen to stimulate new skin growth, laser/light therapy, and for severe and widespread lesions, antibiotics may be used.

Contact us to schedule an appointment or virtual visit today.

*Results may vary per patient. Services vary by location.