Papular Granuloma Annulare

Abstract
Three children, ages 3, 6, and 7, with a papular form of granuloma annulare occurring on their exposed skin, are reported. Contact withCulicoides furanssuggests this biting gnat as the cause of their eruptions. All had an eosinophilia of from 6% to 10%, and the possibilities of either an allergic or a mechanical mechanism causing the eruption are considered. Local trauma by freezing and systemic steroids, as well as protection from the gnat, caused improvement in the eruption.

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