Granuloma annulare

Changed by Tim Luijkx, 13 Oct 2015

Updates to Article Attributes

Body was changed:

Granuloma annulare is a benign idiopathic inflammatory disorder of the dermis, characterised by formation of dermal papules in young children.

Clinical presentation

Granuloma annulare has various clinical presentations:

  • three cutaneous forms
  • one subcutaneous form: presenting as soft tissue mass

Radiographic features

Plain radiograph

These have very little value. The only manifestation is non-specific increased density in the subcutaneous compartment without involvement of bone involvement or mineralisation.

Ultrasound

Shows ill- defined-defined solid mass that is hypoechoic to surrounding fat. It excludes a vascular of cystic lesion.

MRI
  • T1:: fill-defined subcutaneous mass, isointense to muscle
  • T2:: slightly hypointense signal intensity compared with fat, may show heterogeneous hyperintense lesion
  • T1CT1 C+: diffuse enhancement can be see
  • -</ul><h4>Radiographic features</h4><h5>Plain radiograph</h5><p>These have very little value. The only manifestation is non-specific increased density in the subcutaneous compartment without involvement of bone involvement or mineralisation.</p><h5>Ultrasound</h5><p>Shows ill- defined solid mass that is hypoechoic to surrounding fat. It excludes a vascular of cystic lesion.</p><h5>MRI</h5><ul>
  • +</ul><h4>Radiographic features</h4><h5>Plain radiograph</h5><p>These have very little value. The only manifestation is non-specific increased density in the subcutaneous compartment without involvement of bone involvement or mineralisation.</p><h5>Ultrasound</h5><p>Shows ill-defined solid mass that is hypoechoic to surrounding fat. It excludes a vascular of cystic lesion.</p><h5>MRI</h5><ul>
  • -<strong>T1</strong>: fill-defined subcutaneous mass, isointense to muscle</li>
  • +<strong>T1:</strong> fill-defined subcutaneous mass, isointense to muscle</li>
  • -<strong>T2</strong>: slightly hypointense signal intensity compared with fat, may show heterogeneous hyperintense lesion</li>
  • +<strong>T2:</strong> slightly hypointense signal intensity compared with fat, may show heterogeneous hyperintense lesion</li>
  • -<strong>T1C+:</strong> diffuse enhancement can be see</li>
  • +<strong>T1 C+:</strong> diffuse enhancement can be see</li>

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