Periocular subperiosteal deep granuloma annulare in a child.
A 2-year-old child presented with a painless subperiosteal periorbital mass of 6 months' duration. This was associated with several small cutaneous nodules that resolved spontaneously before surgical excision of the orbital lesion. Excisional biopsy of the lesion revealed a deep granuloma annulare in a subperiosteal location along the superior orbital rim. The patient did well after surgery, with no evidence of recurrence after 18 months. Deep granuloma annulare is a rare lesion often confused with rheumatoid nodule. It has not previously been reported in a subperiosteal location around the orbit. Although granuloma annulare is typically benign and often self-limiting, in some cases it can be associated with systemic disease.
Dutton
Jonathan J
JJ
Department of Ophthalmology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7040, USA. jonathan_dutton@med.unc.edu
Escaravage
George K
GK
D001706:Biopsy; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D016460:Granuloma Annulare / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D014057:Tomography, X-Ray Computed