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Two Decades With Chronic Actinic Granuloma: A Case Report.
Neena Edupuganti1, Nathan Sagasser2, Melinda Greenfield3
1Osteopathic Medicine, Philadelphia College of Osteopathic Medicine, Suwanee, USA.
Cureus
|October 14, 2025
Summary
Actinic granuloma (AG) is a rare skin condition affecting sun-exposed areas. This case report details a patient with long-standing, treatment-refractory AG, emphasizing the need for increased awareness and better management strategies.
Area of Science:
- Dermatology
- Immunology
Background:
- Actinic granuloma (AG), or O'Brien's granuloma, is a rare idiopathic granulomatous dermatosis.
- It typically affects sun-exposed areas in older individuals, presenting as annular plaques with central atrophy.

