This type of noise is usually caused by malfunctioning valve lifters or an exhaust manifold leak. If the noise lasts for more than a minute and completely disappears or dimishes after the engine is warm, the most likely cause is an exhaust manifold leak.
Herma [her-ma] as a name for girls has its root in Greek, and the name Herma means messenger. Herma is an alternate form of Hermione (Greek). ASSOCIATED WITH greek, messenger (prophet)
A granuloma is a localized nodular inflammation which has a typical pattern when the involved tissue examined under a microscope. Annulare comes from the Latin word anulus meaning ring. Granuloma annulare is thus a ring-like granuloma in the skin.