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Case report
Generalised papular variant of elastolytic giant cell granuloma
  1. Regina Caldas1,
  2. Maria José Guimarães1,
  3. Ana Patrícia Rodrigues2 and
  4. Catarina Araújo1
  1. 1Department of Dermatology and Venereology, Hospital de Braga, Braga, Portugal
  2. 2Department of Surgical Pathology, Hospital de Braga, Braga, Portugal
  1. Correspondence to Dr Regina Caldas; regina.mimed{at}


Elastolytic giant cell granuloma (EGCG), also known as actinic granuloma, is an uncommon granulomatous dermatosis usually characterised by asymptomatic annular plaques on sun-exposed skin. Its aetiology is not fully elucidated, but actinic damage has been considered the main causal factor. Atypical variants with lesions in a non-photodistributed pattern are rare and often related to a systemic disorder, suggesting a more complex pathogenesis and demanding for a screening work-up. Herein, we report a case of an adult obese, diabetic woman presenting with a generalised pruritic papular eruption, histologically revealing an elastolytic giant cell granuloma, with a good response to treatment. In this case, the dermatosis was probably associated with her metabolic comorbidities.

  • dermatology
  • diabetes

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  • Contributors RC, MJG and CA contributed to the planning, conduction and report of the work. RC, MJG and APR contributed to the conception and design of the work. RC, MJG and APR contributed to the acquisition of data, and analysis and interpretation of the results. All authors are responsible for the overall content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.