RT Book, Section
A1 Muszynski, Melissa
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114876893
T1 Granuloma Annulare
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114876893
RD 2024/04/18
AB A  3-year-old  boy  presents  with  an  annular  eruption  on  the  dorsum  of  his  foot  for  6  months.  Prior  to  this  visit  the  child  was  treated  with  multiple  topical  antifungal  creams  prescribed  by  other  health  care  providers  for  presumed  tinea  corporis.  The  absence  of  significant  scaling  and  the  failure  to  respond  to  topical  antifungals  point  to  the  diagnosis  of  granuloma  annulare  (GA).  Also,  this  is  a  common  location  for  GA.  A  KOH  preparation  was  also  negative  for  hyphae.  The  diagnosis  was  discussed  with  the  parents  and  the  decision  was  made  to  try  a  mid-potency  corticosteroid  topically  for  treatment.  While  intralesional  steroids  are  more  effective  this  is  not  a  viable  option  for  3-year-old  child.