Granuloma annulare is a condition that causes ring-shaped redness of the skin (rash). This rash usually appears on the hands as well as the feet, and can disappear by itself after two years without treatment.
Granuloma Annulare Symptoms
Symptoms and signs of granuloma annulare differ depending on the type of each type, namely:
The most common form of granuloma annulare. The rash has a circular or semicircular boundary with a diameter of approximately five centimeters. This redness rash occurs most often on the hands, feet, wrists and ankles of young older persons.
In rarer forms, rashes are accompanied by itching that occurs in large parts of the body, including arms and limbs.
Under the skin.
The type usually suffered by children, better known as subcutaneous granuloma annulare. The redness that appears smaller and it is located under the skin so it does not make a rash. This redness appears on the hands, forehead, and scalp.
Perforating granuloma annulare
- It appears bumps with yellow spots at its peak, such as boils.
- Lumps can secrete clear fluid, form a scab, and leave a scar.
- These lesions can collect and form large ulcers.
Atypical granuloma annulare
- Appears in the area of the face, palm, or ear.
- Sensitive to sunlight, so symptoms spread more when exposed to sunlight.
- The symptoms can be more severe than other types.
Granuloma Annulare Causes
Until now, the cause of granuloma annulare was not known for certain. The disease is thought to be related to the immune system and the body’s response to inflammation.
There are a series of factors that are said to affect your risk of developing granuloma annulare. Some of them include:
- Genetic or hereditary
- Thyroid disease
- Diabetes mellitus
- Dyslipidemia, i.e. Increased fat levels in the body.
- Cancer, especially in cases of severe granuloma annulare and does not improve with treatment or relapse after the patient undergoes cancer treatment.
While some of the following are thought to trigger symptoms of granuloma annulare:
- Viral infections, such as hepatitis, Epstein-Barr, shingles, and HIV
- Animal bites
- Tuberculin skin test
- Sun exposure
- Small wounds on the skin
- Drugs, eg allopurinol, quinidine, diclofenac, amlodipine, calcitonin, ACE inhibitors, daclizumab, and calcium channel blockers
- Prolonged stress
Granuloma annulare treatment
The information provided is not a substitute for medical advice. ALWAYS consult your doctor.
What are my treatment options for granuloma annulare?
Steroid cream or petroleum jelly
Since the disease is not severe, treatment is often not required. However, if the symptoms of granuloma annulare worsen, your doctor can determine a steroid cream or petroleum jelly to apply to the skin.
Steroids are also used as injections.
If the skin lump is thicker and the symptoms are greater, the doctor may inject corticosteroids directly into the affected skin to help make the lump disappear more quickly.
Ultraviolet light therapy
In addition, if the granuloma annulare is widespread and gets worse, the doctor will recommend his patients to perform special ultraviolet light therapy in order to block other immune systems.
Clotting lumps (cryotherapy).
In cryotherapy, doctors deliver liquid nitrogen to the affected area with a cotton tipped tool or a small tool designed to drain extreme cold temperatures.
The procedure usually lasts for a few seconds to one minute. Liquid nitrogen freezes lumps, helps remove lumps, and stimulates the growth of new skin cells.
What are the usual tests for granuloma anulare?
Your doctor will diagnose the disease by looking at your skin carefully. In addition, you may be asked to perform a biopsy or Pap test. These tests are done to confirm if you have melasma or other.
Home remedies for granuloma anulare
What are some lifestyle changes or home medications that can be made to overcome granuloma annulare?
Some of the lifestyle changes and home medications that can help overcome granuloma annulare are:
- Take medications prescribed by your doctor regularly
- Avoid exposure to allergies, so as not to make symptoms worse
- Contact your doctor immediately if it feels itchy, dry skin, or signs of infection such as fever, swelling, or sudden stop
If you have any questions, consult a doctor for the best solution to your problem.