Prognosis and Treatment
Because granuloma annulare is usually asymptomatic, treatment may not be necessary except for cosmetic reasons. Most lesions of granuloma annulare disappear in pre-pubertal patients with no treatment within two years while older patients (50+) have rings for upwards of 20 years. The appearance of new rings years later is not uncommon. In some cases, successful treatment has involved topical and oral corticosteroids such as clobetasol propionate or methylprednisolone. Subdermally injected corticosteroids such as triamcinolone have also been effective in reducing the size and spread of granuloma annulare.
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