We report a 73-year-old woman presenting with recurrent eruptions of g
eneralized follicular pustules. Histological examination revealed, sev
eral palisading necrobiotic granulomas with mucin deposits, with a per
ifollicular distribution. A dense neutrophilic infiltrate in the upper
portion of affected follicular structures gave rise to pustulous lesi
ons, Scaly papules and pseudovesiculous lesions over the palms with de
eper necrobiotic granulomas involving sweat glands and epidermal perfo
ration coexisted in some of the eruptions with generalized pustules, W
e propose the term follicular pustulous granuloma annulare for this pe
culiar form of granuloma annulare, which widens the clinicopathologica
l spectrum of presentation of this disease.