Annular Elastolytic Giant Cell Granuloma: Case Report

Abstract

Annular elastolytic giant cell granuloma is a rare, granulomatous skin disease. It affects mainly middle-aged women. Lesions are annular plaques with raised borders and atrophic centers on the sun exposed skin. Diagnosis is based on histopathological findings of a granulomatous reaction with elastolysis and phagocytosis of elastic fibers by multinucleated giant cells and the absence of elastic fibers in the center of the granuloma. Thirty four year- old male patient presented to our department with a three-month complaint of erythematous annular papules and plaques, with an atrophic center and elevated borders erythematous on the forehead that gradually increased in number and size without associated symptoms. A diagnosis of annular elastolytic giant cell granuloma is made based on the clinical and histopathological findings. We reported this case due to its rarity and to emphasize that the possibility of annular elastolytic giant cell granuloma should be kept in mind as an entity for differential diagnosis during the clinical evalutions granulomatous skin disease on facial located. Copyright © 2012 by Türkiye Klinikleri.