Abstract
A 58-year-old woman, who was being treated for hyperlipemia, was found to have an erythema on her left abdomen in February 1997. She did not feel any pain or any itching at presentation. The eruption continued to gradually increase in size, and appeared on the opposite side and at other places in the form of erythema annulare. Shc visited our division in August 1997. No fungus was observed. Although steroid ointment was applied, this erythema did not improve. A microscopic examination showed us necrobiosis of collagen fiber in the dermis and palisading histiocytes. Histiologically, it was diagnosed to be granuloma annulare. Granuloma annulare in the form of erythema annulare is rare. Generalized granuloma annulare occurs with various diseases. In our case it was determined to be hyperlipemia and potential diabetes mellitus. We are presently treating the granuloma annulare and observing the patient for any complications.
