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Granuloma annulare treated with excimer laser.

OBJECTIVE: To review the current therapy for granuloma annulare and report a case of refractory generalized granuloma annulare successfully treated with excimer laser. A discussion about the characteristics of excimer laser and the mechanism of its effectiveness is presented.

DESIGN: Patient case report and literature review.

SETTING: Outpatient dermatology practice.

PARTICIPANTS: A 73-year-old woman suffering from generalized granuloma annulare for more than 40 years.

MEASUREMENTS: Change in clinical appearance of lesions.

RESULTS: Use of excimer laser therapy resulted in prompt and complete resolution in treated areas with no residual skin changes or side effects.

CONCLUSION: Excimer laser therapy is a powerful treatment modality with minimal side effects for patients with granuloma annulare. Further study is necessary to elucidate optimal dosing, long-term efficacy, and safety profile.

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