Granuloma Annulare in the Hand

Abstract

A review of our cases of granuloma annulare in the hand revealed that it presented as either an annular or subcutaneous lesion, most commonly on the dorsum of the metacarpophalangeal joint of the middle or ring fingers. Lesions were approximately 10 mm in diameter and the diagnosis was confirmed by surgical biopsy. The majority of cases resolved spontaneously within 1 year, and recurrence, though common, did not necessitate a further biopsy.

Granuloma Annulare Mimicking Dorsal Knuckle Pads

“…As seen in our patient, the condition is self-limited, usually resolving in 1 to 2 years, and should be treated with reassurance in most cases. 12 If necessary, the lesions can be treated with intradermal or topical steroids or cryotherapy. Lesions injected with triamcinolone acetate showed 70% clearance versus only 44% with placebo.…”

Atypical Rheumatoid Nodules: A Possible Precursor to a Rheumatoid Variant in a Rheumatoid-Factor-Negative Patient. Case Report

“…The mean age for the SGA group was 19 years; none had a history of arthritis or related symptoms, and lesions were not found deeper than the mid-dermis [10]. In another review of 7 patients with SGA of the hand, the average patient age was 37 [5]. The presentations were that of one or two painless lesions of the dorsal hand, most commonly over the MP joint.…”

Subcutaneous Granuloma Annulare in a Child’s Palm: A Case Report

“…[2][3][4][5][6][7][8] Treatment usually is not indicated even for recurrent lesions. [2][3][4][5][6][7][8] Nonsteroidal antirheumatics, 7 dapsone, 11 and intralesional injections of triamcinolone 12 have been proposed for those cases resistant to spontaneous healing. An incisional or excisional biopsy examination is diagnostic but neither is curative because a recurrence and/or development of subsequent lesions may occur in a high proportion of patients.…”