Rare presentation of the generalized papular variant of elastolytic giant cell granuloma associated with follicular lymphoma

Elastolytic giant cell granuloma (EGCG) is a rare, benign granulomatous dermatosis with a chronic course that classically develops in sun-exposed areas of actinic elastosis.1-3 EGCG is often self-limiting and asymptomatic but may present as pruritus and pain and have a relapsing, treatment-refractory course. The etiology of this condition is largely unknown, although it has been known to be associated with infection, autoimmune disorders, and malignancy. Few cases have been described as paraneoplastic syndromes in patients with hematologic malignancies, such as non-Hodgkin's lymphoma and leukemia.