Granuloma annulare



What is granuloma annulare?

Granuloma annulare is a condition that most commonly affects on your skin. It includes in raised, reddish or skin-colored bumps (lesions) that create ring patterns, frequently on your climbs such as feet or hands.

Actually the causes of granuloma annulare are still unknown. But it may be irritated by minor skin injuries and certain medications. Some types of granuloma annulare influence both adults and children.

Generally, granuloma annulare does not make you feel itchy or painful, so no treatment is honestly necessary. The disease usually disappears on their own within two or three years. Though it does not make you uncomfortable, your skin may look not good. Thus, your doctor can prescribe medications that will speed the disappearance of the lesions.

How common is granuloma annulare?

In some surveys, women are influenced by granuloma annulare twice as often as men. The localized granuloma annulare seems most commonly found in children and in adults younger than 30 years. On the other hand, generalized granuloma annulare occurs in patients younger than 10 years and in patients aged 30-60 years. Although subcutaneous granuloma annulare can occur in adults, it is predominantly a disease of otherwise healthy children, who are typically aged 2-10 years. Similarly, perforating granuloma annulare most often affects children.

Please discuss with your doctor for further information.


What are the symptoms of granuloma annulare?

Depending on the type of granuloma annulare that the patients get, the signs and symptoms of granuloma annulare can be very different from one person to another:


This is considered to be the most common type of granuloma annulare. The lesion borders have a circular or semicircular shape, with a diameter up to 5 centimeters. It most commonly happens on the hands, feet, wrists and ankles of young adults.


15 percent of the people who have granuloma annulare have lesions over a large portion of their bodies, including the trunk, arms and legs. This type possibly makes patients itchy.

Under the skin

This type that usually affects young children is commonly called subcutaneous granuloma annulare. It produces firm, usually painless, lumps under the skin instead of a rash. The lumps are usually less than 3.5 centimeters in diameter and appear on the hands, shins and scalp.

When should I see my doctor?

Call your doctor if your skin develops reddish bumps (lesions) in ring patterns that don’t go away within a few weeks.


What causes granuloma annulare?

Until now, there is no one knows exactly what the causes granuloma annulare are. However in some patients, this skin disease may be triggered by:

Granuloma annulare is not contagious.

Risk factors

What increases my risk for granuloma annulare?

There are many risk factors for health condition, such as:

  • Diabetes
  • Thyroid disease, most often when lesions are numerous or widespread.

Diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How is granuloma annulare diagnosed?

If your doctor suspects that you experience granuloma annulare, he/she will perform an exam to determine this condition. Then your doctor may recommend you some tests such as he or she may take a small skin sample (biopsy) to examine under a microscope. The sample will be sent to lab and the doctor will then give you the result of the test after a few hours

How is granuloma annulare treated?

In most cases, the necessity of treatment is not required for granuloma annulare. Most lesions will naturally disappear within a few months, and rarely last more than two years. If the appearance of your skin bothers you, your doctor may recommend:

Corticosteroid creams or ointments

Prescription-strength products may help improve the appearance of the lesions and speed their disappearance. Your doctor may direct you to cover the cream with bandages or an adhesive patch, to increase the effectiveness of this treatment.

Corticosteroid injections

If the skin lesions are thicker and your symptoms are greater, your doctor may inject corticosteroids directly into the lesions to help them disappear faster.

Freezing the lesions

Applying liquid nitrogen to the affected area can help remove the lesions and stimulate the growth of new skin.

Light therapy

Exposing the lesions to particular types of light is sometimes helpful. Certain types of laser treatments also work for some people.

Oral medications

In severe cases, especially when the lesions are widespread, your doctor might prescribe antibiotics, antimalarials or drugs used to prevent immune system reactions.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage granuloma annulare?

Following these tips can help you to prevent granuloma annulare:

  • Avoid getting bite from insects by using insect spray when going out.
  • Avoid sun exposure by putting the sun cream on the skin.
  • You should take care of your skin by having a proper diet with fresh fruit and vegetable

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Review Date: July 24, 2017 | Last Modified: July 31, 2017

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