Language

English

Publication Date

9-1-2025

Journal

Archives of Plastic Surgery

DOI

10.1055/a-2665-2132

PMID

40979908

PMCID

PMC12445947

PubMedCentral® Posted Date

9-18-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Granuloma annulare (GA) is a benign, often self-limited granulomatous skin condition that typically resolves spontaneously. Treatment is often not required, but topical and injectional corticosteroids are the most common interventions. Excision is effective for diagnosis and temporary treatment, but usually not considered curative. This case report describes the unconventional treatment of a recurrent biopsy-proven GA of the index finger. Due to the combination of the recalcitrant nodules interfering with function and patient preference, the nodules were excised multiple times. Ultimately requiring reconstruction with a pedicled radial forearm flap, the patient thereafter received radiation therapy to prevent recurrence, the combination of which has not been previously described in the literature. The patient was treated successfully without evidence of recurrence at 18 months.

Keywords

granuloma annulare, radiation therapy, finger nodule, radial forearm

Published Open-Access

yes

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