ORBITAL DEEP GRANULOMA ANNULARE IN AN ADULT

Abstract

A granuloma annulare is an idiopathic lesion resembling the granulomas of rheumatic and rheumatoid diseases. It characteristically affects the skin or subcutaneous collagenous structures of children in the absence of systemic disease. Common locations include the lower extremities and scalp, with some reports of lesions affecting the ocular adnexae. Few reports exist of a granuloma annulare confined to the orbit. Despite characteristic histopathological findings, its clinical and radiological presentations pose a challenge for diagnosis. We present an unusual case of an orbital deep granuloma annulare in an otherwise healthy adult male.