Journal of Asia Pacific Aesthetic Sciences

Abstract: Granuloma annulare is a rare cutaneous granulomatous disease of uncertain etiology, often characterized by ringed or annular papules or plaques. Here, we present a case of a 9-year-old Filipino girl with asymptomatic bilateral skin-colored papules on her elbows. The patient's mother had attempted self-medication with cashew-based cream, which yielded no improvement. Physical examination revealed well-defined papules, and laboratory tests showed neutrophilia, lymphopenia, and normal metabolic profile. A skin biopsy confirmed the diagnosis of papular granuloma annulare, characterized by granuloma formation with increased mucin deposition. Treatment with topical clobetasol propionate resulted in remarkable improvement. However, the patient was subsequently lost to follow-up. This case underscores the atypical presentation of granuloma annulare in a pediatric Asian patient and highlights the importance of considering this diagnosis in unusual cases.