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Granuloma Faciale

Kelsey C. Ferrell, DO, Shiva Kheradmand, DO and Tracy O. Middleton, DO, FACOFP Reviewed 06/2018
 


BASICS

DESCRIPTION

Granuloma faciale (GF) is an uncommon benign and chronic inflammatory skin disease characterized by single/multiple facial cutaneous nodules. 

EPIDEMIOLOGY

Primarily a disease of middl...

DIAGNOSIS

HISTORY

Patients typically present with facial lesions progressively increasing in size over a number of years. Lesions are usually painless, and patients are generally otherwise asymptomatic...

TREATMENT

MEDICATION

  • No double-blinded randomized control trials exist for standardized treatment; data is mostly based on case reports and small case series.

  • Treatment is not necessary and is often for...

ONGOING CARE

PATIENT EDUCATION

Patients should be counseled to wear sunscreen and avoid excessive sun exposure. 

PROGNOSIS

  • Lesions do not spontaneously resolve.

  • GF has the propensity to relapse after trea...

REFERENCES

1
Teixeira DA, Estrozi B, Ianhez M. Granuloma faciale: a rare disease from a dermoscopy perspective. An Bras Dermatol.  2013;88(6 Suppl 1):97–100. [View Abstract on OvidMedline]
2
Radin D...

ADDITIONAL READING

  • Barnadas MA, Curell R, Alomar A. Direct immunofluorescence in granuloma faciale: a case report and review of the literature. J Cutan Pathol.  2006;33(7):508–511.

  • Bobyr I, Campan...

CODES

ICD10

L92.2 Granuloma faciale [eosinophilic granuloma of skin] 

ICD9

701.8 Other specified hypertrophic and atrophic conditions of skin 

SNOMED

61137005 Granuloma faciale (disorder) 

CLINICAL PEARLS

  • GF is a rare disease typically characterized by facial plaques/nodules and is seen most often in middle-aged white males.

  • Sun-exposed areas are more commonly affected and sunlight may d...

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