A Case of Childhood Recalcitrant Granuloma Annulare Successfully Treated With Topical Tacrolimus

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A 5years old boy presented to us with skin colored to erythematous papules which coalesced to form annular plaques with a tendency to spread centrifugally with mild atrophy in the center for a duration of 9 months.The clinical and histopathological findings confirmed the case to be a generalized granuloma annulare of interstitial type.He was successfully treated with topical tacrolimus (0.1%) which was earlier failed to respond satisfactorily with topical and systemic steroid.The case was followed up for duration of another 6 weeks and did not show any signs of relapse or tacrolimus associated adverse effects.