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Surgical management and outcome of scalp subcutaneous granuloma annulare in children: case report.
Neurosurgery. 2008 Nov; 63(5):E1002; discussion E1002.N

Abstract

OBJECTIVE

Subcutaneous granuloma annulare (SGA) is a benign inflammatory disorder that rarely affects the scalp. We report 5 cases of children with SGA scalp lesions and discuss our clinical experience and the characteristic findings, diagnostic evaluation, method of treatment, and course of the disease.

CLINICAL PRESENTATION

Five patients presented with multiple subcutaneous nodules at single or multiple sites overlying the scalp. A retrospective review of the medical, surgical, and pathology records of the 5 patients was conducted.

INTERVENTION

All scalp lesions were excised and were confirmed histologically to be SGA nodules. In 4 of the 5 patients, the nodules were nontender and nonmobile. The mean number of lesions was 4.2. The mean age of patients at presentation was 3.8 years. Of the 5 patients, 4 experienced at least 1 recurrence of a solitary lesion at either the same site or a different site. In the 80% of patients who experienced a recurrence, all lesions recurred less than 1 year postoperatively, except in the case of 1 patient who continued to experience a disappearance and reappearance of lesions at 72 months. The ultimate diagnosis of all lesions was established through biopsy and subsequent microscopic evaluation. No postoperative complications were noted.

CONCLUSION

Granuloma annulare should be included in the differential diagnosis whenever a scalp subcutaneous superficial nodule is observed. Although many modalities of treatment for SGA nodules are used, recurrence is common, even with surgical excision.

Authors+Show Affiliations

Department of Neurological Surgery, University of Washington School of Medicine, Seattle Children's Hospital and Regional Medical Center, Seattle, Washington 98105, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19005364

Citation

Jankowski, Pawel P., et al. "Surgical Management and Outcome of Scalp Subcutaneous Granuloma Annulare in Children: Case Report." Neurosurgery, vol. 63, no. 5, 2008, pp. E1002; discussion E1002.
Jankowski PP, Krishna PH, Rutledge JC, et al. Surgical management and outcome of scalp subcutaneous granuloma annulare in children: case report. Neurosurgery. 2008;63(5):E1002; discussion E1002.
Jankowski, P. P., Krishna, P. H., Rutledge, J. C., Waldhausen, J., & Avellino, A. M. (2008). Surgical management and outcome of scalp subcutaneous granuloma annulare in children: case report. Neurosurgery, 63(5), E1002; discussion E1002. https://doi.org/10.1227/01.NEU.0000333264.11514.FE
Jankowski PP, et al. Surgical Management and Outcome of Scalp Subcutaneous Granuloma Annulare in Children: Case Report. Neurosurgery. 2008;63(5):E1002; discussion E1002. PubMed PMID: 19005364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management and outcome of scalp subcutaneous granuloma annulare in children: case report. AU - Jankowski,Pawel P, AU - Krishna,Phari H, AU - Rutledge,Joseph C, AU - Waldhausen,John, AU - Avellino,Anthony M, PY - 2008/11/14/pubmed PY - 2008/12/23/medline PY - 2008/11/14/entrez SP - E1002; discussion E1002 JF - Neurosurgery JO - Neurosurgery VL - 63 IS - 5 N2 - OBJECTIVE: Subcutaneous granuloma annulare (SGA) is a benign inflammatory disorder that rarely affects the scalp. We report 5 cases of children with SGA scalp lesions and discuss our clinical experience and the characteristic findings, diagnostic evaluation, method of treatment, and course of the disease. CLINICAL PRESENTATION: Five patients presented with multiple subcutaneous nodules at single or multiple sites overlying the scalp. A retrospective review of the medical, surgical, and pathology records of the 5 patients was conducted. INTERVENTION: All scalp lesions were excised and were confirmed histologically to be SGA nodules. In 4 of the 5 patients, the nodules were nontender and nonmobile. The mean number of lesions was 4.2. The mean age of patients at presentation was 3.8 years. Of the 5 patients, 4 experienced at least 1 recurrence of a solitary lesion at either the same site or a different site. In the 80% of patients who experienced a recurrence, all lesions recurred less than 1 year postoperatively, except in the case of 1 patient who continued to experience a disappearance and reappearance of lesions at 72 months. The ultimate diagnosis of all lesions was established through biopsy and subsequent microscopic evaluation. No postoperative complications were noted. CONCLUSION: Granuloma annulare should be included in the differential diagnosis whenever a scalp subcutaneous superficial nodule is observed. Although many modalities of treatment for SGA nodules are used, recurrence is common, even with surgical excision. SN - 1524-4040 UR - https://www.unboundmedicine.com/medline/citation/19005364/Surgical_management_and_outcome_of_scalp_subcutaneous_granuloma_annulare_in_children:_case_report_ L2 - https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/01.NEU.0000333264.11514.FE DB - PRIME DP - Unbound Medicine ER -