Subcutaneous granuloma annulare (pseudorheumatoid nodule)

Deba P Sarma, MD Omaha

F 38, erythematous indurated plaques, both ankles

Comment
Pseudorheumatoid nodules are considered a deep form of granuloma annulare. Most cases are in children, rare in adults. Presents mainly on the legs,scalp and hands as erythematous, violaceous, or skin-colored nodules. No evidence of clinical rheumatoid arthritis or other collagen vascular disease. Histology: Deep dermal and subcutaneous necrobiotic epitheliod granulomas separated by thick collagen. Increased stromal mucin is present. Lesion represents a juxta-articular variant of granuloma annulare.