Generalised granuloma annulare associated with myelodysplastic syndrome

Granuloma annulare (GA) is a benign inflammatory dermatosis. Several systemic diseases can be associated with generalised GA, including diabetes mellitus, thyroid disease, hepatitis B and C, Borrelia infection, and neoplastic diseases. We report a patient with generalised GA which was the initial manifestation of myelodysplastic syndrome (MDS).A 62-year-old woman presented with an eight-month history of disseminated red papules with mild pruritus on the trunk and extremities (figure 1A). The papules [...]