Subcutaneous granuloma annulare: an unusual presentation in the eyelids and scalp

Granuloma annulare is a dermatologic condition of unknown etiology. It most frequently presents on the extremities and trunk as skin-colored nodules arranged in an annular pattern. The lesions are usually asymptomatic and resolve spontaneously. Granuloma annulare is more common in females than males. Subcutaneous granuloma annulare is a subtype of granuloma annulare that affects children. It rarely occurs on the face and scalp and is extremely rare in the periocular region. Subcutaneous granuloma annulare is often misdiagnosed because it is not included in the differential diagnosis. Due to the rarity of facial presentation of granuloma annulare, we present a case of subcutaneous granuloma annulare of the eyelids and scalp in a 4-year-old child.