A Case of Acute-Onset, Painful Acral Granuloma Annulare：一种急性发作的情况下，痛苦的肢端环状肉芽肿.pdf

Letter to the Editor Vol. 28, No. 1, 2016 119 Received December 10, 2014, Revised March 4, 2015, Accepted for publication March 21, 2015 Corresponding author: Mihn-Sook Jue, Department of Dermatology, Veterans Health Service Medical Center, 53, Jinhwangdo-ro 61-gil, Gangdong-gu, Seoul 05368, Korea. Tel: 82-2-2225-1388, Fax: 82-2-471-5514, E-mail: zooooz@ This is an Open Access article distributed under the terms of the mons Attribution mercial License (http:/ / /licenses/by-nc/) which permits unrestricted mercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Fig. 1. Tender erythematous annular plaques on the lateral side of second and third finger. http://dx./. A Case of Acute-Onset, Painful Acral Granuloma Annulare Joon Won Huh, Young-In Jeong, Kwang-Hy un Choi, Hyang-Joon Park, Mihn-Sook Jue Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea Dear Editor: Acute-onset, painful acral granuloma annulare (GA), a rare variant first described by Brey et al. 1 in 2006, is charac- terized by sudden onset of painful lesions on the hands and feet, and scattered lesions at other sites. Patients may have associated arthralgia, diarrhea, and fever. The eryth- rocyte sedimentation rate (ESR) may be elevated 1 . A 57-year-old woman presented with painful lesions on the han