Localized Granuloma Annulare Typically Found on the Lateral or Dorsal Surfaces of the Hands and Feet
This protocol addresses the most common presentation of granuloma annulare: the localized form, characteristically involving the lateral or dorsal surfaces of the hands and feet.
Clinical scenario
The localized form of granuloma annulare composes the majority of cases. Lesions appear on the lateral or dorsal surfaces of the hands and feet and are typically asymptomatic. This is a distinct presentation from the disseminated form, which is widespread and follows a different course.
Clinical goal
Spontaneous resolution of the granuloma annulare skin lesions within one to two years.
Management approach
Because this presentation is self-limited and asymptomatic, the evidence-based approach does not involve active pharmacological intervention. The structured protocol specifies exactly what management entails and under what conditions, if any, the approach changes.
Complete protocol details accessible below →
References
- The two most common types of granuloma annulare are localized, which typically is found on the lateral or dorsal surfaces of the hands and feet; and disseminated, which is widespread.
- The localized form of granuloma annulare composes 75 percent of cases.
- Because localized granuloma annulare is self-limited, no treatment other than reassurance may be necessary.
- Localized granuloma annulare is self-limited and asymptomatic and usually does not require treatment.
- Localized disease generally is self-limited and resolves within one to two years, whereas disseminated disease lasts longer.
- More than 50 percent of these patients will have spontaneous resolution within two years.
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