Deep Granuloma Annulare After Scalp Infection: Wolf's Isotopic Response in a Pediatric Patient

We present a case of a pediatric patient with recurrent flares of deep granuloma annulare (GA) largely localized to the right scalp and face, corresponding to the area of a previously resolved scalp infection. This clinical pattern is suggestive of Wolf's isotopic response, a phenomenon that has been rarely reported in children. To our knowledge, this may represent one of the first documented cases of deep GA manifesting as Wolf's isotopic response in a pediatric patient.