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Open Access
CC BY 4.0 · Arch Plast Surg 2025; 52(05): 300-303
DOI: 10.1055/a-2665-2132
Hand/Peripheral Nerve
Idea and Innovation

Excision and Regional Flap Reconstruction with Radiation Therapy of Granuloma Annulare of the Digit: A Case Report

Authors

  • Austin Y. Jiang 

    1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas

  • Linda K. Green 

    2   Department of Pathology, Michael E. DeBakey VA Medical Center, Houston, Texas
    3   Department of Pathology, Baylor College of Medicine, Houston, Texas

  • David Netscher 

    1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
    4   Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas
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Abstract

Granuloma annulare (GA) is a benign, often self-limited granulomatous skin condition that typically resolves spontaneously. Treatment is often not required, but topical and injectional corticosteroids are the most common interventions. Excision is effective for diagnosis and temporary treatment, but usually not considered curative. This case report describes the unconventional treatment of a recurrent biopsy-proven GA of the index finger. Due to the combination of the recalcitrant nodules interfering with function and patient preference, the nodules were excised multiple times. Ultimately requiring reconstruction with a pedicled radial forearm flap, the patient thereafter received radiation therapy to prevent recurrence, the combination of which has not been previously described in the literature. The patient was treated successfully without evidence of recurrence at 18 months.

Keywords

granuloma annulare - radiation therapy - finger nodule - radial forearm

Authors' Contributions

A.Y.J. drafted and revised the manuscript. L.K.G. reviewed and interpreted the pathology slides. D.N. was the senior author; he performed the surgery, developed the operative and treatment plan, revised the manuscript, and supervised the project.


Ethical Approval

This study was conducted in accordance with IRB regulations and with written informed consent from all participants.


Patient Consent

Informed consent was obtained from the patient regarding the use of her photos and information.




Publikationsverlauf

Eingereicht: 27. August 2024

Angenommen: 13. Juli 2025

Accepted Manuscript online:
25. Juli 2025

Artikel online veröffentlicht:
18. September 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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