Successful treatment response of granuloma annulare and carpal tunnel syndrome to chlorambucil.
We describe a 62-year-old woman in whom skin biopsies verified the clinical diagnosis of granuloma annulare and neurologic and electromyographic studies confirmed the neurologic diagnosis of carpal tunnel syndrome. Short-term treatment with a low dose of chlorambucil taken orally was prescribed. Within weeks, the granuloma annulare had disappeared, and the clinical symptoms of carpal tunnel syndrome had resolved. Electromyography showed variable improvement at the end of treatment and resolution at 9-month follow-up. Our case confirms that short-term treatment of granuloma annulare and associated carpal tunnel syndrome with low-dose chlorambucil is successful.
Department of Dermatology, Mayo Clinic Scottsdale, Arizona.
R K
RK
Winkelmann
J C
JC
Stevens
D002349:Carpal Tunnel Syndrome / Q000150:complications / Q000188:drug therapy*; D002699:Chlorambucil / Q000627:therapeutic use*; D005260:Female; D005542:Forearm; D016460:Granuloma Annulare / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D012867:Skin / Q000473:pathology; D014953:Wrist / Q000473:pathology
D002699:Chlorambucil