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Granuloma Faciale

John Gazewood, MD, MSPH and Hannah Rak, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

Granuloma faciale (GF) is a benign, chronic inflammatory skin disease characterized by one or more cutaneous nodules. 

EPIDEMIOLOGY

A rare disease that has been most commonly reported ...

DIAGNOSIS

HISTORY

Patients typically present with one or more slowly enlarging painless facial lesions. Tenderness, pruritus, and paresthesias associated with the lesions have been described, though th...

TREATMENT

MEDICATION

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

  • Treatment is typically not necessa...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Periodic follow-up to assess for response to therapy and recurrence, and to monitor for adverse effects of treatment. 

PATIENT EDUCATION

Patients ...

REFERENCES

1
Deen J, Moloney TP, Muir J. Extrafacial granuloma faciale: acase report and brief review. Case Rep Dermatol. 2017;9:79–85
2
Jardim MML, Uchiyama J, Kakizaki P, et al. Dermoscopy of granuloma...

ADDITIONAL READING

  • Barnadas  MA, Curell  R, Alomar  A. Direct immunofluorescence in granuloma faciale: a case report and review of the literature. J Cutan Pathol. ...

CODES

ICD10

L92.2 Granuloma faciale [eosinophilic granuloma 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 on sun-exposed areas in middle-aged men

  • Diagnosis requires biopsy.

  • Patients with GF who have...

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