A B
C D
E F
G
H I
J K L
M N
O
P Q
R
S T
U
V
W X Y
Z
[Home]
[Dermatology
News]
[Dermatology
Drug Guide]
[Read or Post to
Bulletin Board]
A
[Abscess]
[Acne Conglobata]
[Acne Fulminans]
[Acne Neonatorum]
[Acne Rosacea]
[Acne, steroid]
[Acne Vulgaris]
[Actinic Keratosis]
[Actinic Prurigo]
[Actinic Purpura]
[Adenoma Sebaceum]
[Addison's Disease]
[Alopecia, androgenic]
[Alopecia Areata]
[Alopecia, stress-induced]
[Aphthous Stomatitis]
[Artecoll]
[ArteFill]
[Athlete's Foot]
B
[Basal Cell Carcinoma]
[Behcet's Disease]
[Birt-Hogg-Dubé Syndrome]
[Botox]
[Bowel-Associated
Dermatosis Arthritis Syndrome]
[Bowen's Disease]
[Bullous Pemphigoid]
C
[Calcium Hydroxylapatite]
[Candidiasis, cutaneous]
[Candidiasis, oral]
[Carcinoid Syndrome]
[Cellulitis]
[Chicken Pox]
[Cicatricial Pemphigoid]
[Collagen, bovine]
[Colloid Millium]
[Corn]
[Cryotherapy]
[Cutis
Rhomboidalis Nuchae]
[Cymetra]
[Cyst]
D
[Dermal Fillers]
[Dermalogen]
[Dermatitis]
[Dermatitis, atopic]
[Dermatitis, contact]
[Dermatitis, nonspecific]
[Dermatitis, seborrheic]
[Dermatitis, stasis]
[Dermatitis Herpetiformis]
[Dermatofibroma]
[Dermatofibrosarcome Protuberans]
[Discoid Lupus Erythematosus]
[Disseminated Intravascular
Coagulation]
[Drug Eruptions (Rash)]
E
[Eczema]
[Epidermal Inclusion Cyst]
[Ehler's-Danlos Syndrome]
[Epidermolysis Bullosa]
[Erythema Migrans]
[Erythema Multiforme]
[Erythema Nodosum]
[Erythroplasia of Queyrat]
[Exanthem, viral]
F
[Fascian]
[Favre-Racouchot Syndrome]
[Freckle]
[Folliculitis]
[Fungal Culture]
[Fungal Infections]
[Furuncle]
G
[Gestational Pemphigoid]
[Glomus Tumor]
[Granuloma Faciale]
[Granuloma Inguinale]
H
[Hair Loss]
[Hand, Foot, and Mouth Disease]
[Hemangioma]
[Herpangina]
[Herpes Simplex Virus]
[Herpes Zoster]
[Hives]
[Hidradenitis Suppurativa]
[Human Herpes Virus 8 (HHV-8)]
[Hyaluronic Acid]
[Hylaform]
[Hyperhidrosis]
[Hyperpigmentation]
[Hypopigmentation,
postinflammatory]
I
[Impetigo]
[Impetigo, bullous]
[Incontinentia Pigmenti]
[Infantile Acropustulosis]
[Insect bite or sting]
[Intense Pulse Light]
J
[Juvéderm]
K
[Kaposi's Sarcoma]
[Keloid]
[Keratoacanthoma]
[Keratosis Pilaris]
L
[Laser]
[Laser, CO2]
[Laser, diode]
[Laser, Er:YAG, pulsed]
[Laser, excimer]
[Laser, Nd:YAG, pulsed]
[Laser, Nd:YAG, Q-switched]
[Laser, pulsed dye]
[Laser Hair Removal]
[Lentigo]
[Leukoplakia, oral]
[Lichen Planus]
[Lichen Simplex Chronicus]
[Linear IgA Bullous Disease]
[Lipoma]
[Lupus Erythematosus, discoid]
[Lupus Erythematosus, systemic]
M
[Melanoma]
[Melasma]
[Mesolis]
[Milia]
[Miliaria]
[Moh's Surgery]
[Molluscum Contagiosum]
[Morphea]
[Mucous Membrane Pemphigoid]
[Muir-Torre Syndrome]
[Mycosis Fungoides]
N
[Neonatal Acne]
[Neonatal Cephalic Pustulosis]
[Neurofibroma]
[Nevus]
[Nevus, dysplastic]
[New-Fill]
[Notalgia Paresthetica]
O
[Ochronosis]
[Onychomycosis]
[Oral Ulcer]
P
[Pachyonychia Congenita]
[Paget's Disease]
[Paronychia]
[Pemphigus Vulgaris]
[Photoaging]
[Photodermatoses]
[Photodynamic Therapy]
[Pityriasis Alba]
[Pityriasis Lichenoides et Varioliformis
Acuta (PLEVA)]
[Pityriasis Lichenoides Chronica (PLC)]
[Pityriasis Rosea]
[Poikiloderma of Civatte]
[Polymorphous Light Eruption]
[Porokeratosis]
[Porphyria Cutanea Tarda]
[Postinflammatory
Hyperpigementation]
[Postinflammatory
Hypopigmentation]
[Psoralen + UVA (PUVA)]
[Psoriasis]
[Purpura]
[Purpura, actinic]
[Purpura, thrombocytopenic]
[PUVA]
[Pyoderma Gangrenosum]
R
[Radiesse]
[Relapsing Polychondritis]
[Restylane]
[Rhinophyma]
[Rosacea]
S
[SAPHO Syndrome]
[Sarcoidosis]
[Scabies]
[Schamberg's Disease]
[Schnitzler Syndrome]
[Scleroderma]
[Sculptra]
[Sebaceous Hyperplasia]
[Seborrheic Keratosis]
[Shingles]
[Skin Tag]
[Sneddon-Wilkinson Disease]
[Solar Elastosis]
[Squamous Cell Carcinoma]
[Steatocystoma]
[Stevens-Johnson Syndrome]
[Stewart-Treves Syndrome]
[Sweet's Syndrome]
[Syphilis, primary]
[Syphilis, secondary]
[Systemic Lupus Erythematosus (SLE)]
T
[Thrush]
[Tinea]
[Tinea Capitis]
[Tinea Corporis]
[Tinea Cruris]
[Tinea Faciale]
[Tinea Manuum]
[Tinea Pedis]
[Tinea Unguium]
[Tinea Versicolor]
[Thermage]
[Toxic Erythema]
[Trichotillomania]
[Tuberous Sclerosis]
U
[Ulcer, oral]
[Ulcer, skin]
[Urticaria]
V
[Varicella]
[Vasculitis]
[Viral Exanthem]
[Vitiligo]
W
[Wart]
[Wiskott-Aldrich Syndrome]
X
[Xanthoma]
Z
[Zyderm I]
[Zyderm II]
[Zyplast]
A B
C D
E F
G
H I
J K L
M N
O
P Q
R
S T
U
V
W X Y
Z
[Home]
|
Granuloma Faciale
What is granuloma faciale?
Granuloma faciale is an order of unknown origin, typically
affecting middle-aged white men, that is characterized clinically by
red-brown or violaceous plaques, almost always on the face. Granuloma faciale is
usually without symptoms, though itching or burning may be present. Lesions are
usually solitary, ranging in size from millimeters to several centimeters.
Multiple lesions are sometimes present. The lesions are soft, well-defined,
with prominent follicles visible.
With what can granuloma faciale be confused?
The clinical appearance of granuloma faciale can sometimes be
confused with leprosy, rosacea,
lymphoma, pseudolymphoma, sarcoidosis,
polymorphous light eruption,
lesions of systemic lupus
erythematosus, syphilis,
mycosis fungoides, and a fixed
drug eruption.
When granuloma faciale is not on the face, erythema elevatum
diutinum (EED) is a key differential diagnosis to consider. EED usually presents
as red-brown plaques or nodules on the buttocks, extensor surfaces, and skin
overlying joints. The face may be involved as well. The key in distinguishing
this entity from granuloma faciale is histology. EED lacks a Grenz zone,
usually manifests epidermal changes, has more neutrophils than eosinophils, and
may exhibit prominent lipid-laden macrophages. Vasculitis is also usually more
prominent than in granuloma faciale.
How is granuloma faciale diagnosed?
The clinical appearance is suggestive of the diagnosis of
granuloma faciale, but a biopsy is required for confirmation. The specimen
shows a diffuse dermal infiltrate of lymphocytes, neutrophils, and, importantly,
eosinophils. A Grenz zone (a narrow band of papillary dermis without
infiltrate) is present at the dermal-epidermal junction. Leukocytoclastic
vasculitis may be present, as well. See
Pathology.
How is granuloma faciale treated?
The condition is difficult to treat.
Steroids, either topical or intralesional,
are often the first attempted treatment. Other pharmaceutical approaches include
dapsone and clofazimine. However,
granuloma faciale can be difficult to treat. Invasive procedures include:
electrosurgery, carbon dioxide laser, cryosurgery,
dermabrasion, surgical excision, but scarring often results, and recurrence is
possible. Use of a vascular laser (e.g. pulsed dye laser)
and PUVA. have been utilized as well.
Buy
Discounted Drugs
What is the prognosis for granuloma faciale?
Granuloma faciale is difficult to treat. Invasive
procedures will often scar, and recurrence is possible.
Date created 07/07/2007
Last updated
10/08/2008
|