Hi Mounika garu, the exact cause of granuloma annulare is unknown. Some reports associate chronic stress with granuloma annulare as a trigger of the disease. Granulomas themselves don’t usually have noticeable symptoms. But the conditions that cause them, such as sarcoidosis, tuberculosis, histoplasmosis, and others, may create symptoms. The most prominent symptom includes bumpy skin rash, reddish eruptions, circular rash with mild itching. Homoeopathy is one of the best solutions for Granuloma annulare without any side effects. Homeopathy aims at treating the internal factors by addressing the immune system using oral medicine. Homeopathic treatment is to understand the cause of Granuloma Annulare as auto-immune, suggesting internal, immunological factors responsible for the disease. Homeopathic treatment does focus on the patient as a person, as well as his pathological condition. It does balance the energy system, improves immunity as well as body functions. It does cure the root cause of the disorder. Some commonly indicated Homeopathic medicines for Granuloma annulare are Clematis, Bovista, Graphitis, Dulcamara, Mezereum, Rhus Tox, Sulphur etc. Better to take qualified Homoeopathic doctor’s advice before taking medicines. Please call on +918885920000 for more details about medicines and for consultation.