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The condition is often resistant to treatment. Control of pruritus is the cornerstone of management. Topical glucocorticoids, retinoids, keratolytics, systemic antihistamines, photochemotherapy, UVB phototherapy, liquid nitrogen cryotherapy, electrical nerve stimulation, and allopurinol, have all been tried with varying degrees of success.[3] Our patient was treated with oral antihistamines and topical tretinoin (0.05%) twice daily. Within six weeks, the lesions started to resolve but the patient was subsequently lost to follow-up.

Isomorphic and isotopic phenomenon occurring simultaneously in a case of granuloma annulare