PT  - JOURNAL ARTICLE
AU  - Regina Caldas
AU  - Maria José Guimarães
AU  - Ana Patrícia Rodrigues
AU  - Catarina Araújo
TI  - Generalised papular variant of elastolytic giant cell granuloma
AID  - 10.1136/bcr-2019-231580
DP  - 2019 Dec 01
TA  - BMJ Case Reports
PG  - e231580
VI  - 12
IP  - 12
4099  - http://casereports.bmj.com/content/12/12/e231580.short
4100  - http://casereports.bmj.com/content/12/12/e231580.full
SO  - BMJ Case Reports2019 Dec 01; 12
AB  - 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.