TY - CHAP M1 - Book, Section TI - Chapter 173. Granuloma Annulare A1 - Usatine, Richard P. A1 - Smith, Mindy A. A1 - Chumley, Heidi S. A1 - Mayeaux, E.J. PY - 2013 T2 - The Color Atlas of Family Medicine, 2e AB - A 39-year-old woman presents with raised rings on her right hand only. Not knowing the correct diagnosis, another physician prescribed topical steroids and antifungal medicines with no benefit. The diagnosis of granuloma annulare (GA) was made by the typical clinical appearance and the patient was offered intralesional steroids. Triamcinolone acetonide was injected as seen in Figure 173-1, A. The patient noted improvement over the subsequent weeks, but within a month new lesions began to appear on her other hand (Figure 173-1, B). Additional injections were provided and 1 month later the patient had regression of the treated lesions but had new lesions on the right arm (Figure 173-2, A). At the next visit, the patient had new lesions on her feet as well (Figure 173-2, B). The diagnosis of disseminated GA was made and systemic treatment was started. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=57681946 ER -