I.          Definition:
 
Granuloma annulare is a harmless rash that forms rings on the surface of the skin.  Granuloma annulare usually does not itch, and may otherwise go unnoticed.
 
 
II.  Cause:
 
·           Granuloma annulare is rarely associated with diabetes.
 
·           Granuloma annulare is most common in children and young adults, the reason is unknown.
 
 
III.  Treatment:
 

• Treatment of granuloma annulare is difficult and, except for the cosmetic aspect, is usually unnecessary.

 

• Sometimes granuloma annulare responds to topical cortisone preparations. 

 

• Cortisone injections can also be used to treat granuloma annulare.  These are more effective than cortisone creams.

 

• The natural course of granuloma annulare is to eventually disappear on its own after several years.