Widespread Granuloma Annulare in Photo Distribution

Abstract

Granuloma annulare is relatively common idiopathic disease of dermis and subcutaneous tissue. It can be observed of all races and ages, but it effects woman more often (2:1). Widespread granuloma annulare, diffuse but symmetrically located occurs as papular or annular pustules composed of more than ten and often hundreds of lesions. Because of the rare occurrence of common granuloma annulare cases with photosensitivity distribution, we present a case of a 49 year-old woman who had generalized granuloma annulare on the neck, dorsal aspects of the hands and extensor surfaces of the arms showing photosensitive distribution and that responded well to topical and intralesional steroid treatment.