Annular Elastolytic Giant Cell Granuloma (Actinic Granuloma)

• Unclear if distinct disease or variant of GA
• ± Related to inflammation triggered by actinic damage
• Presents as annular erythematous plaque with slightly atrophic center in sun-exposed areas of older adults; tendency for slow spread
• Histology: solar elastosis, absence of elastic fibers in center of lesion, elastic fibers adjacent to or within giant cells (elastophagocytosis), granulomatous inflammation
• Treatment: topical corticosteroids (inconsistent response)