{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T06:18:35Z","timestamp":1770963515477,"version":"3.50.1"},"reference-count":16,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,12,5]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Elastolytic giant cell granuloma (EGCG), also known as actinic granuloma, is an uncommon granulomatous dermatosis usually characterised by asymptomatic annular plaques on sun-exposed skin. Its aetiology is not fully elucidated, but actinic damage has been considered the main causal factor. Atypical variants with lesions in a non-photodistributed pattern are rare and often related to a systemic disorder, suggesting a more complex pathogenesis and demanding for a screening work-up. Herein, we report a case of an adult obese, diabetic woman presenting with a generalised pruritic papular eruption, histologically revealing an elastolytic giant cell granuloma, with a good response to treatment. In this case, the dermatosis was probably associated with her metabolic comorbidities.<\/jats:p>","DOI":"10.1136\/bcr-2019-231580","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T04:49:21Z","timestamp":1576558161000},"page":"e231580","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Generalised papular variant of elastolytic giant cell granuloma"],"prefix":"10.1136","volume":"12","author":[{"given":"Regina","family":"Caldas","sequence":"first","affiliation":[{"name":"Department of Dermatology and Venereology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Jos\u00e9","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Patr\u00edcia","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Surgical Pathology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,12,16]]},"reference":[{"key":"2025082701311069000_12.12.e231580.1","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.det.2015.03.002","article-title":"Elastolytic actinic giant cell granuloma","volume":"33","author":"Guti\u00e9rrez-Gonz\u00e1lez","year":"2015","journal-title":"Dermatol Clin"},{"key":"2025082701311069000_12.12.e231580.2","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1111\/ijd.13502","article-title":"Spectrum and clinical variants of giant cell elastolytic granuloma","volume":"56","author":"Chen","year":"2017","journal-title":"Int J Dermatol"},{"key":"2025082701311069000_12.12.e231580.3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.ijwd.2015.06.001","article-title":"Infiltrated papules on the trunk and headaches: a case of actinic granuloma and a review of the literature","volume":"1","author":"Parikh","year":"2015","journal-title":"Int J Womens Dermatol"},{"key":"2025082701311069000_12.12.e231580.4","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.jdcr.2016.05.021","article-title":"Annular elastolytic giant cell granuloma after a cardiac pacemaker implantation","volume":"2","author":"Pham","year":"2016","journal-title":"JAAD Case Rep"},{"key":"2025082701311069000_12.12.e231580.5","doi-asserted-by":"crossref","unstructured":"Raposo I , Mota F , Lobo I , et al . Annular elastolytic giant cell granuloma: a \"visible\" diagnosis. 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