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Generalized Perforating Granuloma Annulare
W. Christopher Duncan, MD;
Jerry D. Smith, MD;
John M. Knox, MD
Arch Dermatol. 1973;108(4):570-572.
Abstract
Two children had generalized perforating granuloma annulare. In both patients, the disease began at the age of 3 and persisted for three years. The majority of lesions were on the extremities, and a definite seasonal influence was present with exacerbation during the summer and almost complete clearing during the winter. Moderate pruritus was present in one child. The lesions begin as flesh-colored papules that become slightly inflammatory, develop a central crust (the perforation), and then slowly resolve. Careful histologic examination is necessary to find the perforation; however, the typical histologic picture of granuloma annulare can be found without difficulty.
Author Affiliations
Houston
From the Department of Dermatology, Baylor College of Medicine, Houston.
Footnotes
Accepted for publication May 17, 1973.
Reprint requests to 1200 Moursund, Houston 77025 (Dr. Duncan).
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