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[Localized granuloma annulare in children: outcome in 30 cases]
F Rapelanoro-Rabenja1, J Maleville, A Taïeb
1Unité de dermatologie pédiatrique, hôpital Pellegrin-Enfants, Bordeaux, France.
Insights
Granuloma annulare in children is a benign skin condition that often presents before age five. While typically resolving, this childhood granuloma annulare can persist for several years.
Area of Science:
- Pediatric Dermatology
- Dermatology Research
- Clinical Pediatrics
Context:
- The long-term prognosis of childhood granuloma annulare remains incompletely understood.
- Previous studies have not extensively detailed the natural history of this condition in pediatric populations.
- Understanding the course of granuloma annulare is crucial for managing patient and family expectations.
Purpose:
- To define the outcome and clinical course of granuloma annulare in children.
- To identify factors influencing the resolution or persistence of granuloma annulare in pediatric patients.
- To provide a clearer picture of the prognosis for childhood granuloma annulare.
Summary:
- A retrospective study analyzed 30 children diagnosed with granuloma annulare between 1987 and 1992.
- Lesions typically appeared before age five, primarily on the hands and feet, and were often solitary.
- The condition is benign, with a mean duration of 2.5 years, unaffected by age at onset, sex, biopsy, or treatment.
Impact:
- This study clarifies that childhood granuloma annulare is a benign condition with a potentially prolonged course.
- Findings aid clinicians in counseling families about the expected duration of granuloma annulare.
- Provides valuable data for pediatric dermatologists managing this common childhood skin condition.
Background:
The outcome of granuloma annulare in childhood is not well defined.
Population And Methods:
A questionnaire was sent to the family of 40 children under 15 years of age examined for granuloma annulare from 1987 to 1992. Thirty of them answered, permitting a retrospective study.
Results:
The sex-ratio F:M was 1.3:1. Ages ranged from 1 to 13 years (mean: 4.5 years). Lesions developed before the age of 5 years in 76.7% of cases. Involved sites were essentially the back of hands and feet; lesions were unique in half of the cases. No association with diabetes mellitus was found. Three familial cases were observed. Duration of lesions varied from 6 months to 7 years (mean: 2.5 years). Age at onset, sex, biopsy and treatment had no influence on outcome.
Conclusion:
Granuloma annulare in children is a benign disorder but its course may last up to several years.