Perforating granuloma annulare in children: A case report

Jihane Ziani,Fatima Zahra Mernissi,Sara Eloudi,Selma Benkirane,Zakia Douhi,Hanane Baybay

doi:10.15761/ccrr.1000474

Abstract

Perforating granuloma annulare in children: A case report

Highlights

Annulare perforating granuloma (APG) is a rare form of annular granuloma with difficult clinical diagnosis, the confirmation of which is histological
We report a documented case with histological confirmation of annular granuloma florid form and suspicion of APG
This is a child aged 7 years, with no notable pathological history, who presented 3 months ago conjunctival hyperemia with a feverish sensation and arthralgia preceding the installation of erythematous lesions for certain painful nonpruritic pain increasing gradually of size becoming pustular sitting on the level of the members having been of the face and the mucous membranes associated with digestive signs

Summary

Introduction

Annulare perforating granuloma (APG) is a rare form of annular granuloma with difficult clinical diagnosis, the confirmation of which is histological. We report a documented case with histological confirmation of annular granuloma florid form and suspicion of APG. This is a child aged 7 years, with no notable pathological history, who presented 3 months ago conjunctival hyperemia with a feverish sensation and arthralgia preceding the installation of erythematous lesions for certain painful nonpruritic pain increasing gradually of size becoming pustular sitting on the level of the members having been of the face and the mucous membranes associated with digestive signs. The examination on admission objectified an apyrexia with a conservation of the general state and multiple erythematous papules certain flesh color slightly painful surmounted by follicular pustules by place sitting at the level of the faces of extensions of the members and acrale, as well as of the face with conjunctival hyperemia, nasal erosion, cheilitis, similar lesions in the peri-scrotal, and anitis. In biology; no inflammatory syndrome with correct leukocytes, normal VS and CRP, a priori a table of vasculitis was mentioned, an anatomopathological study on skin biopsy made it possible to make the diagnosis of annular granuloma with all the histological elements which were in favor (Figure 1)

Findings

Discussion

Conclusion