Diagnosis: Granuloma annulare
Description: Papules in the advancing edge
Morphology: Annular
Site: Thigh
Sex: F
Age: 65
Type: Clinical
Submitted By: Ian McColl
Differential DiagnosisHistory: Granuloma annulare will sometimes occur in a more diffuse form with large annular lesions particularly on the thighs.However there are always papules in the advancing edge and no scaling as this is a dermal process.Sarcoidosis can be difficult to exclude clinically.In a ringworm infection there would be scale in the advancing edge.