Do you recognize these ring-shaped lesions?

October 17, 2018
Do you recognize these ring-shaped lesions?

Figure 1 Quiz of the Week

A 69-year-old woman with a history of hypertension and irritable bowel syndrome presents with multiple ring-shaped lesions on both hands. The lesions are non-pruritic and developed over the past four days. When she visits for follow-up two weeks later, the lesions remain present. 

What is the most likely diagnosis?

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Do you recognize these ring-shaped lesions?

Original image posted by @osler1982.


Answer: Granuloma annulare

This skin condition is variably reported to be linked to hypertension, diabetes, and dyslipidemia. It is most commonly asymptomatic and self-limited. Most lesions disappear spontaneously within a year, though the period can be hastened with topical steroids.

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