“…Annular plaques on the face, neck, and arms with the findings of marked elastophagocytosis by giant cells and absence of elastic fibers in the dermis have been previously reported as two clinicopathological entities; O'Brien (2) reported a case of "actinic granuloma", but Hanke et al (l) used the term "annular elastolytic giant cell granuloma" (AEGCG). AEGCG tends to accompany diabetes mellitus (1,3,4), sarcoidosis (l) and generalized granuloma annulare (2), and to occur on sun-exposed areas of the body in many western countries, but to occur frequently on non-sun-exposed areas in Japan (4,5).…”