<s>[INST] <<SYS>> This is a medical question of type : symptoms <</SYS>> What are the symptoms of Granuloma annulare ? [/INST] What symptoms are associated with granuloma annulare? People with this condition usually notice a ring of small, firm bumps (papules) over the backs of the forearms, hands or feet. Occasionally, multiple rings may be found. Rarely, granuloma annulare may appear as a firm nodule under the skin of the arms or legs. </s>