Arthur Nogood
Annular elastolytic giant cell granuloma (AKA actinic granuloma)
Annular elastolytic giant cell granuloma is a rare entity, mainly involves sun exposed area with clinical similarity to granuloma annulare, but completely different under microscope, characterized by total absence of elastic fibers in the areas affected, lack of mucin deposition seen in granuloma annulare, and recalcitrant to various treatment modalities. This mid age gentleman was lucky that he responded well to systemic low-dose methotrexate plus glucocorticoid.
Annular elastolytic giant cell granuloma (AKA actinic granuloma)
Annular elastolytic giant cell granuloma is a rare entity, mainly involves sun exposed area with clinical similarity to granuloma annulare, but completely different under microscope, characterized by total absence of elastic fibers in the areas affected, lack of mucin deposition seen in granuloma annulare, and recalcitrant to various treatment modalities. This mid age gentleman was lucky that he responded well to systemic low-dose methotrexate plus glucocorticoid.