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Granuloma annulare - Treatment

Treatment:

Because granuloma annulare usually causes no symptoms, you may not need treatment except for cosmetic reasons.

Very strong steroid creams or ointments are sometimes used to clear up the rash more quickly. Injections of steroids directly into the rings may also be effective. Some health care providers may choose to freeze the bumps with liquid nitrogen.

People with severe or widespread cases may need ultraviolet light therapy or oral medications.

Expectations (prognosis):

Most granuloma annulare disappears without treatment within 2 years. Sometimes, however, the rings can remain for many years. The appearance of new rings years later is not uncommon.

Calling your health care provider:

Call your health care provider if you notice a ring anywhere on your skin that does not go away within a few weeks.

  • Reviewed last on: 9/11/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Roy Colven, MD, Dermatologist, Associate Professor of Medicine, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Habif TP. Cutaneous manifestations of internal disease. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 26.

Morelli JG. Diseases of the dermis. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 658.

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