Granuloma anulare, classic type . borderline, in the centre skin-coloured, smooth, painless, firm papules and plaques with the formation of an indicated ring shape without scaling over the middle joint of the left middle finger.
Granuloma anulare disseminated type: Centripedally growing, painless, moderately sharply defined, edge-emphasized, red (red-brown), symptom-free plaques that have been present for years; no diabetes mellitus detectable.
Granuloma anulare giganteum: Centripedally growing, painless, sharply defined, edge-emphasized, red red-brown plaque that has been present for years. Circinal outline
Granuloma anulare subcutaneous type Multiple, painless, deep cutaneous, skin-coloured nodules on the sides of the fingers (Granuloma anulare subcutaneum).
Granuloma anulare disseminatum: generalized, large, brown, barely raised plaques with anular formations (see arms). no itching or other symptoms. no known systemic abnormality detectable.
Granuloma anulare perforans: Presence of a disseminated granuloma anulare with multiple shiny papules, some of which show central ulceration (see inlet).
Granuloma anulare: 2 distinct eosinophilic zones with necrobiotic collagen and surrounding palisade granuloma. The surface epithelium is intact. In the lower third of the biopsy intact eccrine sweat glands.
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