Is there anything you can do to get rid of granuloma annulare?
• A: Granuloma annulare is a chronic skin disease where a rash with red bumps appears in the shape of a circle. The cause is unknown, but it occurs the most in young women or children. The rash is usually the only symptom and may or may not itch. It often will appear on the back of the forearms, hands or feet and in multiple circles or rings. It is rare, but sometimes a firm nodule can be present under the skin on the arms or legs. Sometimes, it can be mistaken for a fungal infection, but there are tests that can distinguish the difference. Treatment is not usually needed, unless for cosmetic reasons. The doctor will usually prescribe a strong topical steroid cream or ointment (stronger than OTC (over-the-counter) steroids), such as Temovate (clobetasol), to reduce rash, swelling, redness, and/or itching. Steroids can also be injected directly into the rings or the rings can be frozen off with liquid nitrogen. In very severe cases, oral steroids or ultraviolet light therapy may also be
