Facial Ulceration: Causes & Reasons

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Possible Causes for Facial Ulceration

Basal Cell Carcinoma

Trigeminal trophic syndrome is an uncommon cause of facial ulcers, that affects the sensitive area of the trigeminal nerve. [ncbi.nlm.nih.gov]

RESULTS: In total, 331 cases of facial BCC were included, and 10 lesions recurrences (3%) were identified within the observation period. [ncbi.nlm.nih.gov]

Basal cell carcinoma usually occurs on the head and neck, but very rarely on extra-facial locations. [ncbi.nlm.nih.gov]

Lethal Midline Granuloma

Lethal midline granuloma (LMG) or midline malignant polymorphic reticulosis is characterized by progressive, unrelenting ulceration and necrosis of the midline facial tissues [link.springer.com]

Physical exam Upon observation, key findings include facial swelling and erythema. [symptoma.com]

A condition that is characterized by inflammation, ulceration, and perforation of the nose and the PALATE with progressive destruction of midline facial structures. [profiles.umassmed.edu]

Yaws

ulcers, particularly around the nose (gangosa) Pinta lesions are confined to the dermis. [merckmanuals.com]

Gangosa or rhinopharyngitis mutilans denotes mutilating facial ulceration of the palate and nasopharynx secondary to osteitis. [ncbi.nlm.nih.gov]

[…] particularly of the tibia) Proliferative exostoses of the nasal portion of the maxillary bone (goundou) Juxta-articular nodules Gummatous skin lesions Ultimately, mutilating facial [merckmanuals.com]

Syphilis

Characteristic signs include Hutchinson's teeth, typical facial appearance and bowed sabre shins. [dermnetnz.org]

Differential diagnosis of clinical symptoms of syphilis Ulcers Genital ulcers : genital herpes, trauma, cancer ; and less commonly, tuberculosis, chancroid Anal ulcers : genital [dermnetnz.org]

Lupus Vulgaris

Original Article O Fatusi, O Onayemi, K Adebiyi, V Adetiloye, F Owotade, O Oninla Keywords facial ulcer, histopathological diagnosis, lupus vulgaris, tuberculosis cutis orificialis [ispub.com]

Facial swelling and ulceration with nasal destruction. Cleve Clin J Med 2011;78:289-90. 13. Miteva L. Alopecia: A rare manifestation of lupus vulgaris. [e-ijd.org]

Facial swelling and ulceration with nasal destruction. Cleve Clin J Med 2011;78:289-90. 14. Padmavathy L, Rao LL, Ethirajan N, Krishnaswami B. [ijmm.org]

Primary Syphilis

Characteristic signs include Hutchinson's teeth, typical facial appearance and bowed sabre shins. [dermnetnz.org]

Differential diagnosis of clinical symptoms of syphilis Ulcers Genital ulcers : genital herpes, trauma, cancer ; and less commonly, tuberculosis, chancroid Anal ulcers : genital [dermnetnz.org]

Paracoccidioidomycosis

Mucocutaneous paracoccidioidomycosis showing extensive destruction of facial features. [web.archive.org]

The facial muscles were normal and showed no visible asymmetry. [bjid.org.br]

Mucocutaneous paracoccidioidomycosis showing an ulcerated lesion on the pharyngeal mucosa. [web.archive.org]

Malignant Neoplasm of the Skin

You are here: Cancer information / Cancer types / Skin - non-melanoma / Signs and symptoms Non-melanoma skin cancer usually starts as an abnormal area or change on any part of the skin. How non-melanoma skin cancer looks often depends on the type of cancer. Other health conditions can also look like[…] [cancer.ca]

Squamous Cell Carcinoma of the Skin

Invasive pigmented squamous cell carcinoma (PSCC) of the skin is reportedly rare. Herein, we evaluate an additional five cases and compare their relative frequency with non-pigmented squamous cell carcinoma (SCC). Of 46,791 archived cases of SCC, a total of five cases of PSCC were discovered for a relative[…] [ncbi.nlm.nih.gov]

Congenital Erythropoietic Porphyria

A hitherto undescribed dual deficiency of uroporphyrinogen III synthase and uroporphyrinogen decarboxylase was observed in the erythrocytes in a 14 year-old patient who had presented with congenital erythropoietic porphyria since early childhood. Whereas congenital erythropoietic porphyria was metabolically and[…] [ncbi.nlm.nih.gov]

Mucocutaneous Leishmaniasis

Midline destructive lesions have multiple possible etiologies, which can be grouped into neoplastic, infectious, or vasculitis-associated. The purpose of these case reports and literature review was to highlight the need to include mucocutaneous leishmaniasis in the diagnosis of midfacial lesions in any patient who has[…] [ncbi.nlm.nih.gov]

Primary Genital Syphilis

Home References Syphilis is caused by Treponema pallidum, a spiral-shaped bacterium. (Image: © CDC) Syphilis is a sexually transmitted disease that is caused by the bacterium Treponema pallidum. After chlamydia and gonorrhea, it is the third most common sexually transmitted disease reported to the U.S. government,[…] [livescience.com]

Congenital Trigeminal Anesthesia

Due to corneal anesthesia, it usually presents with recurrent, painless eye infections, painless corneal opacities and/or poorly healing, ulcerated wounds on the facial skin [orpha.net]

Pyoderma Gangrenosum

Facial ulceration in a patient with Crohn's disease. Gastroenterology. 2012; :1071, 1258. doi: 10.1053/j.gastro.2011.09.032. Lana MA, Moreira PR, Neves LB. [revista.spdv.com.pt]

We hereby report about facial ulcers consistent with PG in 2 geriatric patients. [karger.com]

Nasal Septum Ulceration

Trigeminal trophic syndrome is characterized by trigeminal anesthesia, nasal alar ulceration, and facial paresthesia. [jamanetwork.com]

Bone changes should be sought elsewhere in the skeleton to further establish the likely diagnosis of yaws and differentiate the ulcerating facial changes of gangosa from nasal [isradiology.org]

You should look for another ENT or a facial plastic surgeon. [realself.com]

Silicone Granuloma

Severe granulomatous reaction and facial ulceration occurring after subcutaneous silicone injection. J Am Acad Dermatol. 1996;34(5):849–52. 2. Duffy DM. [wjso.biomedcentral.com]

Severe granulomatous reaction and facial ulceration occurring after subcutaneous silicone injection. J Am Acad Dermatol. 1996;34(5):849–52. [wjso.biomedcentral.com]

Injectable silicone: cause of facial nodules, cellulitis, ulceration, and migration. Aesthetic Plast Surg. 1996;20:267–276 4. Ellenbogen R, Rubin L. [journals.lww.com]

Ainhum

Bilateral ainhum of small toe too. » Abscess » Ainhum » Charcot foot » Digital necrosis » Facial ulcers » Fingertip lesions » Fingertip necrosis » Inguinal lymphadenitis » [medical-photographs.com]

Necrotizing Alveolitis

[…] nodular ulcerated lesions and submandibular lymphadenopathy One of the leading causes of death in AIDS patients (opportunistic infection) 1.) [quizlet.com]

Itraconazole/Fluconazole If fungal infection in CNS (meningitis) Symptoms: mild respiratory infection which can progress with dissemination and development of oral, nasal, and facial [quizlet.com]

Dermatitis Factitia

Facial ulcer treated with olanzapine. Clin Exp Dermatol. 2013 Jul. 38(5):504-6. [Medline]. Wong JW, Nguyen TV, Koo JY. [emedicine.medscape.com]

Ecthyma Gangrenosum

Blumenthal NC, Sood UR, Aronson PJ, Hashimoto K (1990) Facial ulcerations in an immunocompromised patient. Ecthyma gangrenosum. [link.springer.com]

Pressure Ulcer

Pressure ulcer Other names Decubiti, decubitus, or decubitous ulcers, pressure injuries, pressure sores, bedsores Stage IV decubitus displaying the tuberosity of the ischium protruding through the tissue, and possible onset of osteomyelitis. Specialty Plastic surgery Complications infection Pressure ulcers, also known[…] [en.wikipedia.org]

Mycobacterium

Diagn Microbiol Infect Dis. 2018 Jul;91(3):256-259. doi: 10.1016/j.diagmicrobio.2018.02.008. Epub 2018 Feb 18. Kusuki M 1, Osawa K 2, Arikawa K 3, Tamura M 4, Shigemura K 5, Shirakawa T 6, Nakamura T 1, Nakamachi Y 7, Fujisawa M 8, Saegusa J 7, Tokimatsu I 9. Author information 1 Department of Clinical Laboratory, Kobe[…] [ncbi.nlm.nih.gov]

Pulmonary Scleroderma

[…] skin Ulcerations on the fingertips and toes Pain and stiffness in the joints Persistent cough Shortness of breath Heartburn ( acid reflux ) Difficulty swallowing Digestive [my.clevelandclinic.org]

Swelling of the hands and feet Red spots on the skin (telangectasias) Excessive calcium deposition in the skin (calcinosis) Joint contractures (rigidity) Tight, mask-like facial [my.clevelandclinic.org]

Hydroa Vacciniforme-Like Lymphoma

Disseminated crusty papules of the facial skin. (b) Intraoral aphthous ulcers ( arrows ). [medicaljournals.se]

[…] and legs, she also presented with hepatosplenomegaly and facial edema. [scielo.unam.mx]

But even at this stage, facial swelling is usually very severe, numerous vesicles and deep nodules and ulcers develop. [clinicaladvisor.com]

Apostematous Glandular Cheilitis

Severe granulomatous reaction and facial ulceration occurring after subcutaneous silicone injection. [scielo.isciii.es]

Injentable silicone: cause of facial nodules, cellulitis, ulceration and migration. Aesth Plat Surg 1996;20:267-76 [ Links ] 10.Mastruserio N, Pesqueira M, Cobb M. [scielo.isciii.es]

Silicone granuloma of the facial tissues: A report of seven cases. [scielo.isciii.es]

Facial Granuloma

[…] mutilating mortal granuloma, mortal progressive granulomatous ulceration of the nose, gangrenous osteomyelitis of the paranasal sinus, nasal chronic infectious granuloma [jamanetwork.com]

[…] of nasopharyngeal and midline facial tissues; pathogenesis is unclear; MG may represent a poor immune response to various infections in an immune- or otherwise compromised [medical-dictionary.thefreedictionary.com]

3 used the term facial granuloma with eosinophilia. [mdedge.com]

Hemangioma

In case of ulceration, bleeding or potential deformity, treatment is necessary. Large segmental facial hemangiomas may be associated with the PHACE syndrome. [semanticscholar.org]

Ulceration, size and location of the IH were indications for starting propranolol eleven days after birth up to a dose of 3 mg/ kg/day in three doses. [cris.maastrichtuniversity.nl]

These include hemangiomas that interfere with essential functions such as breathing, vision, or hearing; that bleed, ulcerate, or distort facial features. [facesofchildren.org]

Exposure Keratitis

Mittelviefhaus Introduction:It is a major risk of peripheral facial nerve palsy that lid lag can cause corneal ulcers ith permnent scaring. [dog.org]

Treatment of corneal ulcer is on the general lines 3. [ophthalmologylife.blogspot.com]

Major risk factors were intubation (22/61, 30%), facial nerve palsy (10/61, 16%), isolated lagophthalmos (7/61, 11%), and cicatricial lid changes (5/61, 8%). [iovs.arvojournals.org]

Hydroa Vacciniforme

[…] lymphoma in a long-term resident of the United States. ( 29693057 ) Yu K.K....Tejasvi T. 2018 2 Hydroa Vacciniforme-Like Cutaneous T-Cell Lymphoma in an Adult Presenting With Facial [malacards.org]

[…] edema, multiple vesicles, large necrotizing ulcers, and severe scarring in a photo distributed and non-photo distributed areas.[1] Patients often have more systemic signs [statpearls.com]

[…] lymphoma is a very rare Epstein-Barr virus-associated malignant lymphoproliferative disorder characterized by a chronic, recurrent, vesiculopapular rash, which subsequently ulcerates [orpha.net]

Mucormycosis

Abstract Facial mucormycosis and extranodal natural killer/T cell lymphoma (NK/TCL) are characterized by facial progressive swelling, ulceration and destruction. [ncbi.nlm.nih.gov]

A less fulminant variety of this is the Rhino maxillary subtype which usually presents with palatal ulceration, facial swelling, turbinate necrosis and purulent sinusitis. [alliedacademies.org]

Symptoms of mucormycosis that affects the sinuses, brain, and eyes include fever, nasal ulcers, stuffy nose, facial swelling, vision problems, sinus infection, and headache [emedicinehealth.com]