Auricular granuloma annulare in a child

Unilateral, painless auricular papules

“…In terms of associations, some case reports noted a history of repeated occupational trauma, and in one case there was a history of cosmetic piercing to the ear. 2,3,5 However, most, like our patient, did not exhibit any links. 3,5 The clinical differential diagnosis of auricular GA includes chondrodermatitis nodularis helicis, intercartilaginous pseudocyst and scarring (hypertrophic and keloid).…”

“…2,3,5 However, most, like our patient, did not exhibit any links. 3,5 The clinical differential diagnosis of auricular GA includes chondrodermatitis nodularis helicis, intercartilaginous pseudocyst and scarring (hypertrophic and keloid). 1 Perforating dermatoses, including perforating collagenosis and sarcoidosis, should also be considered, 6 although there was no histological evidence of perforation in our patient.…”

“…[2][3][4][5] Advice on avoidance of trauma was given to two patients who suffered repeated occupational trauma, and in both cases, improvement was noted. 3 One case had recurrence of lesions after surgical excision. 5 Overall, the prognosis for GA is good, and many cases resolve spontaneously within a few years, thus treatment is indicated only for patients who have symptomatic lesions or cosmetic concerns.…”

“…GA localized to the auricular areas is uncommon, with only a few documented reports, mainly isolated case reports, in the literature 2–5 . The most commonly reported presentation is of painless, bilateral, skin‐coloured, asymptomatic papules predominantly located on the antihelix and less often on the helical rim and ear lobe 2–5 .…”

“…1 GA localized to the auricular areas is uncommon, with only a few documented reports, mainly isolated case reports, in the literature. [2][3][4][5] The most commonly reported presentation is of painless, bilateral, skincoloured, asymptomatic papules predominantly located on the antihelix and less often on the helical rim and ear lobe. [2][3][4][5] Although GA generally affects females more than males, all cases of localized auricular GA reported in the literature have affected males exclusively, with an age range of 7-40 years.…”