Granuloma annulare is a chronic skin condition causing raised, reddish or skin-colored bumps that form ring patterns, usually on the hands and/or feet. It is usually seen in otherwise healthy people, but sometimes it it is also seen in association with chronic conditions such as diabetes or thyroid disorders. It has also been associated with certain autoimmune disorders (systemic lupus erythematosus, rheumatoid arthritis, Lyme disease and Addison's disease). The exact cause of the condition is unknown, in medicine we call it "idiopathic". It has not been linked to injectables such as botulinum toxins or dermal fillers in any way. Best, Lisa Vuich, MD