Treatment of Generalized Granuloma Annulare with Oral Griseofulvin.

Autor: Chumsaengsri C; Institute of Dermatology, Bangkok, Thailand., Suwanthaweemeesuk J; Institute of Dermatology, Bangkok, Thailand.
Jazyk: angličtina
Zdroj: Case reports in dermatological medicine [Case Rep Dermatol Med] 2022 Nov 18; Vol. 2022, pp. 2523710. Date of Electronic Publication: 2022 Nov 18 (Print Publication: 2022).
DOI: 10.1155/2022/2523710
Abstrakt: Background: Granuloma annulare (GA) is a benign skin disease that has four clinical variants including localized, generalized, perforating, and subcutaneous GA. The most common type is localized GA, followed by generalized GA. Generalized GA was defined as at least 10 widespread annular plagues and frequently on the trunk, face, neck, and extremities. The diagnosis was made by clinical and histopathology. Generalized GA was difficult to treat. Case Presentation . We presented a Thai woman with nonscaly annular papules and plaques on the trunk and all extremities. A skin biopsy revealed a lesion that was compatible with granuloma annulare. She was partially resolved with 2-month course of oral griseofluvin 500 mg daily. Discussion . The regression of GA response to oral griseofulvin is consistent with the inflammatory nature, which identified IFN-gamma upregulated in GA.
Conclusion: Griseofulvin is safe with few side effects and cost effectiveness. Further studies are needed to better understand the immunology and pathogenesis of GA.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2022 Chumsaeng Chumsaengsri and Jongjin Suwanthaweemeesuk.)
Databáze: MEDLINE
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