Abstract
A case of generalized perforating granuloma annulare is presented in a 6-year-old girl. The clinical appearance of umbilicated papules initially suggested a perforating dermatosis. Two skin biopsy specimens demonstrated a necrobiotic palisading granulomadle in the midcorium and upper corium. Serial sections were required to demonstrate the perforation of necrobiotic material through the overlying epidermis.
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