What Do Annular Granulomas On The Shin Indicate Despite Using Steroids And Methotrexate?
steroids or methotrexate. I have been diagnosed with hypothyroid and RA in the meantime. I was only seen at a rheumatologist because my doctor suspected it was Lupus, it was not. Do you think it could be Lymes?
Evaluation of annular granuloma
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Reviewed the attached image,
The causes of annular granuloma include diabetes, thyroid problems, sun exposure, insect bite, and infections.
Lyne disease is definitely a possibility. Presence of Borrelia (bacteria causing Lyme disease) can be confirmed by doing the FFM (Focus floating microscopy) testing and PCR analysis of the tissue. Once confirmed antibiotics need to be initiated.
I also recommend getting your sugar levels checked to rule out diabetes. Adequately treat hypothyroidism. Take thyroid medications as prescribed.
If steroid creams are not helping, a steroid injection into the annular granuloma can be tried.
Hope this answers your questions
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