Unusual presentation of granuloma annulare in periocular area

Granuloma annulare is a benign, relatively common dermatosis of childhood and young adults. Lesions typically occur on the extremities. Localized facial and periocular involvement is rare. We describe a 25- year-old woman with asymptomatic skin-color, firm, and papular lesions on both periocular areas since 6 months ago. Histological examination revealed palisading necrobiotic granuloma, characterized by an acellular central area containing mucin surrounded by palisading histiocytes, suggestive of granuloma annulare. Granuloma annulare should be considered for any acquired papular lesions of the periocular area at any age to avoid multiple surgical excisions at a later stage of life