Subcutaneous granuloma annulare induced by acetazolamide

Pediatr Dermatol. 2020 Nov;37(6):1181-1182. doi: 10.1111/pde.14347. Epub 2020 Sep 6.

Abstract

A 9-year-old boy presented with recurring subcutaneous nodules on both legs and knees temporally related each time to acetazolamide treatment for idiopathic intracranial hypertension. A biopsy of one of the lesions revealed palisaded granulomas in the hypodermis around necrobiotic collagen and interstitial accumulation of mucin, compatible with subcutaneous granuloma annulare (SGA). To the best of our knowledge, this is the first case that establishes an association between SGA and acetazolamide.

Keywords: acetazolamide; granuloma annulare.

Publication types

  • Case Reports

MeSH terms

  • Acetazolamide* / adverse effects
  • Biopsy
  • Child
  • Granuloma Annulare* / chemically induced
  • Granuloma Annulare* / diagnosis
  • Granuloma Annulare* / drug therapy
  • Humans
  • Male
  • Neoplasm Recurrence, Local
  • Subcutaneous Tissue

Substances

  • Acetazolamide