Granuloma Annulare is a chronic skin disorder which is often identified by the reddish lesions on the skin. These reddish bumps are arranged on the skin as rings or circles and are usually believed to be caused by overproduction of white blood cells.
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GRANULOMA ANNULARE
Granuloma annulare is a chronic autoimmune dermatological disorder characterized by papules in the
form of reddish bumps forming a ring shape appearance. These reddish bumps are commonly present
on hands, feet, knees and elbows. This benign inflammatory condition of annular plaques on the skin is
caused by an autoimmune response causing increased production of white blood cells (leukocytosis).
GRANULOMA ANNULARE CAUSES:
The exact cause of this condition is still not identified but some doctors associate this condition with
thyroid disorders and diabetes mellitus. The patient seems overall healthy and no other organ or system
is affected. The large amount of white blood cells circulating in the blood have some difficulty in running
smoothly and thus leak through the thin capillary network to reach the undersurface of the skin,
clumping there and presenting themselves as circular reddish bumps on the surface of the skin. Among
granuloma annulare causes, association with some other autoimmune disorders is identified such as
lupus erythematosis, addison’s disease and rheumatoid arthritis. It may also occur as a result of
hypersensitivity to wheat gluten, tetanus vaccine or copper and infections along with animal, insect
bites and sunlight exposure.
2. GRANULOMA ANNULARE SYMPTOMS:
This condition is more common in females than males. It affects individual in all age groups however
relatively rare in infants. Granuloma annulare symptoms begin in the form of small pimple like bump
which advances rapidly to large and large sized lesions. Patient notices the appearance of thickened
plaques, red in color, firm in consistency on the surface of forearms, hands and feet. There may be
multiple rings which merge to form a large single annular plaque. It may present in four different
varieties: localized, generalized, subcutaneous and perforating. It may sometimes also present on the
circumference of the waist and sides and continues for years without any therapy.
GRANULOMA ANNULARE DIAGNOSIS:
Granuloma annulare diagnosis is based upon the physical examination of the bumps by a skin doctor.
Biopsy can be performed in order to comfirm the diagnosis or differentiate the condition from other skin
disorders and malignancies.
3. GRANULOMA ANNULARE TREATMENT:
In most cases treatment of granuloma annulare is not needed because these lesions have the tendency
of spontaneous resolution within a period of few months to few years. However the process of selfhealing can be quickened by the adequate treatment options. Granuloma annulare treatment includes
corticosteroids creams and ointments, adhesive patches or bandages for improved rapid results, direct
injection of corticosteroids in the papules, liquid nitrogen cryotherapy to remove the lesion and
replacement of it by new normal skin, laser and light therapy or excision of the lesion. All these are
associated with side-effects and post-surgical pain. Oral medications are prescribed to prevent reactions
of immune system. Granuloma annulare herbal product is effective in timely removal of these lesions
without any side-effects and pain as seen with allopathic medications and surgical procedure. The
herbal mixture improves the overall appearance of skin, leaving it smooth and soft along with
completely curing this ailment in no time.