Generalized granuloma annulare in a patient with myelocytic leukemia and chronic hepatitis B virus infection

Abstract

Granuloma annulare is a granulomatous disorder of the dermis and subcutaneous tissue, with different clinical types. Generalized granuloma annulare is a rarely encountered clinical entity. We describe a 60-year-old woman with a 4-month history of generalized annular lesions. She had a history of myelocytic leukemia and chronic hepatitis B virus infection. To date, both acute myelocytic leukemia and hepatitis B virus infection have been described independently in association with generalized granuloma annulare but have never been described together in association with generalized granuloma annulare. Probable etiological causes of granuloma annulare are discussed in our patient.

Chronic Hepatitis with Liver Granulomas in a Patient with Granuloma Annulare: A Case Report and Review of the Literature

“…GA has been reported in association with hepatitis C [5], hepatitis B [6, 7], and primary biliary cholangitis [8]. In all cases, the diagnosis of liver disease preceded the onset of GA.…”