title: Annular erythematous papules in the neckline.
abstract: A 45-year-old woman with personal history of hypertension presented with an erythematous lesion in the neckline for a year and with a progressive growth. A physical examination revealed an annular lesion with erythematous papules in the edge. Histological exam showed phagocytosis of elastic fibers by multinucleated cells compatible with annular elastolytic giant-cell granuloma. The patient did not present any other associated systemic manifestation. Treatment with tacrolimus 0.1 percent ointment was prescribed with a very good response after two months.
authors.affiliation: Dermatology and Pathology Department, San Cecilio University Hospital, Granada, Spain.
authors.forename: M J
authors.initials: MJ
authors.lastname: Espiñeira-Carmona
authors.forename: S
authors.initials: S
authors.lastname: Arias-Santiago
authors.forename: J
authors.initials: J
authors.lastname: Aneiros-Fernández
authors.forename: M A
authors.initials: MA
authors.lastname: Fernández-Pugnaire
authors.forename: R
authors.initials: R
authors.lastname: Naranjo-Sintes
authors.forename: J
authors.initials: J
authors.lastname: Aneiros-Cachaza
mesh_terms: D004890:Erythema / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D006101:Granuloma, Giant Cell / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008875:Middle Aged; D012871:Skin Diseases / Q000188:drug therapy / Q000473:pathology*; D016559:Tacrolimus / Q000627:therapeutic use
chemical_list: D007166:Immunosuppressive Agents; D016559:Tacrolimus