Treatment of Generalized Granuloma Annulare with Oral Griseofulvin
Background. Granuloma annulare (GA) is a benign skin disease that has four clinical variants including localized, generalized, perforating, and subcutaneous GA. The most common type is localized GA, followed by generalized GA. Generalized GA was defined as at least 10 widespread annular plagues and...
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Wiley
2022-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/2523710 |
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| author | Chumsaeng Chumsaengsri Jongjin Suwanthaweemeesuk |
| author_facet | Chumsaeng Chumsaengsri Jongjin Suwanthaweemeesuk |
| author_sort | Chumsaeng Chumsaengsri |
| collection | DOAJ |
| description | Background. Granuloma annulare (GA) is a benign skin disease that has four clinical variants including localized, generalized, perforating, and subcutaneous GA. The most common type is localized GA, followed by generalized GA. Generalized GA was defined as at least 10 widespread annular plagues and frequently on the trunk, face, neck, and extremities. The diagnosis was made by clinical and histopathology. Generalized GA was difficult to treat. Case Presentation. We presented a Thai woman with nonscaly annular papules and plaques on the trunk and all extremities. A skin biopsy revealed a lesion that was compatible with granuloma annulare. She was partially resolved with 2-month course of oral griseofluvin 500 mg daily. Discussion. The regression of GA response to oral griseofulvin is consistent with the inflammatory nature, which identified IFN-gamma upregulated in GA. Conclusion. Griseofulvin is safe with few side effects and cost effectiveness. Further studies are needed to better understand the immunology and pathogenesis of GA. |
| format | Article |
| id | doaj-art-4b0d8e7d2f7d4ea2b13048c096ff0340 |
| institution | OA Journals |
| issn | 2090-6471 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-4b0d8e7d2f7d4ea2b13048c096ff03402025-08-20T02:38:35ZengWileyCase Reports in Dermatological Medicine2090-64712022-01-01202210.1155/2022/2523710Treatment of Generalized Granuloma Annulare with Oral GriseofulvinChumsaeng Chumsaengsri0Jongjin Suwanthaweemeesuk1Institute of DermatologyInstitute of DermatologyBackground. Granuloma annulare (GA) is a benign skin disease that has four clinical variants including localized, generalized, perforating, and subcutaneous GA. The most common type is localized GA, followed by generalized GA. Generalized GA was defined as at least 10 widespread annular plagues and frequently on the trunk, face, neck, and extremities. The diagnosis was made by clinical and histopathology. Generalized GA was difficult to treat. Case Presentation. We presented a Thai woman with nonscaly annular papules and plaques on the trunk and all extremities. A skin biopsy revealed a lesion that was compatible with granuloma annulare. She was partially resolved with 2-month course of oral griseofluvin 500 mg daily. Discussion. The regression of GA response to oral griseofulvin is consistent with the inflammatory nature, which identified IFN-gamma upregulated in GA. Conclusion. Griseofulvin is safe with few side effects and cost effectiveness. Further studies are needed to better understand the immunology and pathogenesis of GA.http://dx.doi.org/10.1155/2022/2523710 |
| spellingShingle | Chumsaeng Chumsaengsri Jongjin Suwanthaweemeesuk Treatment of Generalized Granuloma Annulare with Oral Griseofulvin Case Reports in Dermatological Medicine |
| title | Treatment of Generalized Granuloma Annulare with Oral Griseofulvin |
| title_full | Treatment of Generalized Granuloma Annulare with Oral Griseofulvin |
| title_fullStr | Treatment of Generalized Granuloma Annulare with Oral Griseofulvin |
| title_full_unstemmed | Treatment of Generalized Granuloma Annulare with Oral Griseofulvin |
| title_short | Treatment of Generalized Granuloma Annulare with Oral Griseofulvin |
| title_sort | treatment of generalized granuloma annulare with oral griseofulvin |
| url | http://dx.doi.org/10.1155/2022/2523710 |
| work_keys_str_mv | AT chumsaengchumsaengsri treatmentofgeneralizedgranulomaannularewithoralgriseofulvin AT jongjinsuwanthaweemeesuk treatmentofgeneralizedgranulomaannularewithoralgriseofulvin |