Granuloma Annulare Mimicking Alopecia Mucinosa in a Child: An Atypical Presentation

    Kallolinee Samal, Bhabani S. T. P. Singh, Surabhi Singh, Liza Mohapatra
    TLDR Biopsy is crucial to correctly diagnose granuloma annulare, which can mimic other conditions like alopecia mucinosa.
    This case report describes a 6-year-old girl with granuloma annulare (GA) mimicking alopecia mucinosa, presenting as a hairless patch on her leg. Initially suspected to be alopecia mucinosa due to clinical and dermoscopic findings, a biopsy confirmed interstitial GA. The child was treated with topical mometasone furoate, resulting in complete resolution of the lesion after 7 months. This case highlights the importance of biopsy in distinguishing GA from other conditions like alopecia mucinosa, as GA can present atypically. The study suggests that dysregulation of the JAK-STAT pathway in GA might contribute to hair loss.
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