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Facial Granuloma
Face Granuloma

Presentation

Case presentation A 3-year-old boy presented for evaluation of multiple facial nodules that had been present for six months. After their initial appearance, the lesions sporadically fluctuated in size but never resolved completely. [escholarship.org]

[…] with a history of a red-brown well-circumscribed lesion present on the face for a long duration. [psychiatryadvisor.com]

One lesion (case 5, nose) presented a posterior enhancement. There were no significant differences in ultrasound characteristics between facial and extrafacial GF (Table 1). [actasdermo.org]

Respiratoric

  • Saddle Nose

    (Int J Dermatol 2020;59:e29) 47 year old woman with multiple facial plaques, epistaxis and saddle nose (Br J Dermatol 2018;178:e395) 54 year old man with multiple plaques and nodules on the forehead (Clin Exp Dermatol 2017;42:799) 63 year old woman with [pathologyoutlines.com]

Skin

  • Facial Skin Lesion

    It is characterized by skin lesions predominantly facial whose course is chronic and slowly progressive. The diagnosis is based on clinical features, histopathology and, more recently, in dermoscopy. [ncbi.nlm.nih.gov]

    Of unknown origin, it is characterized by predominantly facial skin lesions whose course is chronic and slowly progressive.33. Marcoval J, Moreno A, Peyr J. Granuloma faciale: a clinicopathological study of 11 cases. [scielo.br]

  • Skin Ulcer

    There was no skin ulceration. No photosensitivity, fever or joint pain was present. Past and personal history was unremarkable. Figure 1: Before treatment - single, grey-brown nodule with prominent follicular orifices over left cheek. [jcasonline.com]

Face, Head & Neck

  • Facial Edema

    It shows perivascular and perifollicular lymphocytic infiltrates with giant cells and dermal edema. [55] Facial aseptic granuloma presents as an asymptomatic erythematous nodule over the cheeks in children. [ijdpdd.com]

Workup

Such a reaction should prompt referral to an allergist or rheumatologist for allergy and autoimmune workup. Major complications. More significant complications include migration of the filler, granuloma formation, and infection. 3 Migration. [aao.org]

Other Pathologies

  • Granulomatous Tissue

    ICD-10-CM Codes › L00-L99 Diseases of the skin and subcutaneous tissue › L80-L99 Other disorders of the skin and subcutaneous tissue › L92- Granulomatous disorders of skin and subcutaneous tissue › Granulomatous disorder of the skin and subcutaneous tissue [icd10data.com]

Treatment

The patient returned after nine months of treatment with partial improvement (Figure 4). FIGURE 4 Post treatment. [scielo.br]

Telangiectasia in GF suggests that this type of laser may be an effective treatment option. [medicaljournals.se]

The patient returned after nine months of treatment with partial improvement (Figure 4). Post treatment. [ncbi.nlm.nih.gov]

Granuloma faciale--treatment by dermabrasion. Report of a case. Cleve Clin Q. 1970 Oct. 37(4):215-8. [QxMD MEDLINE Link]. Apfelberg DB, Druker D, Maser MR, Lash H, Spence B Jr, Deneau D. Granuloma faciale. Treatment with the argon laser. [emedicine.medscape.com]

Treatment Options Treatment options are summarized in Table I. Table I. Treatment options for granuloma faciale. [dermatologyadvisor.com]

Prognosis

The patients were reviewed according to demographics, location, treatment, and prognosis. Follow-up was obtained through a questionnaire sent to each referring physician. [mdedge.com]

Etiology

Granuloma faciale (GF) is an uncommon cutaneous disease of uncertain etiology that predominantly affects the face. Extrafacial lesions are rare. [mayoclinic.pure.elsevier.com]

[…] and Pathogenesis The etiology of granuloma faciale is unknown. [plasticsurgerykey.com]

Etiology and Pathophysiology Etiology and pathogenesis are not clearly defined, but several hypotheses exist. Some cases are idiopathic. [unboundmedicine.com]

Etiology is unknown. Early cases of granuloma faciale were reported as “eosinophilic granuloma” of the skin. [accessmedicine.mhmedical.com]

Epidemiology

Epidemiology Primarily a disease of middle-aged white men with rare reports of GF in Japanese, blacks, and children Incidence/Prevalence Rare; precise incidence and prevalence are unknown. [unboundmedicine.com]

OBJECTIVES: To improve our epidemiological, clinical and pathological knowledge on IFAG, to search for an infectious aetiology, and to assess therapeutic recommendations. [ncbi.nlm.nih.gov]

Epidemiology Early cases of granuloma faciale were reported as “eosinophilic granuloma” of the skin. [plasticsurgerykey.com]

Pathophysiology

Etiology and Pathophysiology Etiology and pathogenesis are not clearly defined, but several hypotheses exist. Some cases are idiopathic. [unboundmedicine.com]

Regarding the pathophysiology, our study rules out a primary infectious disease, and allows considering IFAG either as a granulomatous process appearing around an embryological residue or as a manifestation to include in the spectrum of granulomatous [ncbi.nlm.nih.gov]

Case Overview granuloma faciale Member Rated 0 Patient case no. 1546 Date added 16 April 2003 Patient details Age --Undetermined-- Localisation Head / face / cheek Primary Lesions Plaque / erythematous Pathophysiology reactive conditions / eosinophilic [dermquest.com]

[…] vasculitis: leukocytoclasia with perivascular and often storiform fibrosis ICD coding ICD-10: L92.2 - Granuloma faciale (eosinophilic granuloma of skin) Sites Face - forehead, cheeks and nose - most common Extrafacial - trunk or extremities - not uncommon Pathophysiology [pathologyoutlines.com]

Prevention

We take the utmost care to prevent poor voice outcomes. [voicedoctorla.com]

Counselling the patient and adopting preventative measures such appropriate filler choice and prevention of infection should be part of every case of dermal filler injections. [aestheticsjournal.com]

How can Granuloma Faciale be Prevented? Currently, there are no known methods to prevent Granuloma Faciale occurrence. However, some of the risk factors may be recognized and controlled. [dovemed.com]

There is no known preventive for granuloma inguinale, although it is rare where sanitary living conditions prevail. The drainage from lesions may be infectious and handwashing and basic cleanliness are required. [medical-dictionary.thefreedictionary.com]

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