Generalized granuloma annulare sparing vaccination sites.
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.
Huilgol
S C
SC
St John's Institute of Dermatology, St Thomas' Hospital, London, UK.
Liddell
K
K
Black
M M
MM
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