title: Generalized granuloma annulare sparing vaccination sites.
abstract: Generalized granuloma annulare (GA) is a chronic and widespread form of GA, less common than the localized type, in which the primary papular lesions may be arranged in either predominantly annular or non-annular configurations. Associations with numerous systemic disorders, including malignancies of the haematopoietic system, have been reported. There is a marked tendency to show the isomorphic or Koebner phenomenon. We report a most unusual case of generalized non-annular GA associated with chronic myelomonocytic leukaemia and myelodysplasia, in which the eruption showed striking sparing of vaccination sites.
authors.affiliation: St John's Institute of Dermatology, St Thomas' Hospital, London, UK.
authors.forename: S C
authors.initials: SC
authors.lastname: Huilgol
authors.forename: K
authors.initials: K
authors.lastname: Liddell
authors.forename: M M
authors.initials: MM
authors.lastname: Black
mesh_terms: D000368:Aged; D016460:Granuloma Annulare / Q000209:etiology / Q000473:pathology*; D006801:Humans; D015477:Leukemia, Myelomonocytic, Chronic / Q000150:complications*; D008297:Male; D010257:Paraneoplastic Syndromes / Q000209:etiology / Q000473:pathology*; D014611:Vaccination