小结
病史和体格检查
关键诊断因素
- 无症状性成簇环状粉色或肉色真皮丘疹
其他诊断因素
- 肉色、粉红或棕色斑疹或小丘疹
- 软组织结节
- 穿孔性丘疹、结痂或溃疡的病损
- 红斑性斑块
危险因素
- 糖尿病
- 血液恶性肿瘤
- 带状疱疹
- HIV
- 肝炎
- 高脂血症
- 甲状腺疾病
- 药物治疗
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 皮肤活组织检查
- 空腹血糖
- 甲状腺功能检测
- 脂质筛查
- 肝炎筛查
- HIV 检测
治疗流程
局灶性变异（经典环状皮疹）
全身性变异（泛发斑状皮疹）
穿孔性变异（结痂或溃疡性病损）
皮下小结变异（软结节）
斑片变异（红斑样斑块）
撰稿人
作者
Misha Rosenbach, MD
Associate Professor
Dermatology and Internal Medicine
University of Pennsylvania
Philadelphia
PA
利益声明
MR has received consulting fees from Merck, aTyr Pharma, and Processa Pharma, not related to granuloma annulare. He has received grant support from Processa Pharma, not related to granuloma annulare. MR has received salary support from the AMA/JAMA for his role at JAMA Dermatology as Deputy Editor. MR is an author of references cited in this topic.
鸣谢
Dr Misha Rosenbach would like to gratefully acknowledge Dr Susmita Mukherjee, a previous contributor to this topic. SM declares that she has no competing interests.
同行评议者
Aisha Sethi, MD
Assistant Professor of Medicine
Associate Residency Program Director
University of Chicago
Chicago
IL
利益声明
AS declares that she has no competing interests.
Robert Herd, MSc, MD, FRCP
Consultant Dermatologist
Department of Dermatology
Nuffield Hospital
Glasgow
UK
利益声明
RH declares that he has no competing interests.
Brenda L. Pellicane, MD
Dermatologist
Wayne State University School of Medicine
Department of Dermatology
Detroit
MI
利益声明
BLP declares that she has no competing interests.
鉴别诊断
- 环状扁平苔藓
- 皮肤癣菌感染
- 蕈样霉菌病
更多 鉴别诊断
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