Granuloma Faciale | Figure 3.42 A: Urticarial vasculitis (Courtesy of Dr. Iris K. Aronson) B: EED* C: Granuloma faciale* * Reprint from Burgdorf WH, Plewig G, Landthaler M, Wolff HH, eds. Braun-Falco’s Dermatology. 3rd ed. Heidelberg: Springer; 2009 |
(Figure 3.42C) - Presents with smooth violaceous to red-brown plaque on face, typically solitary but may see multiple on face (rarely extra-facial sites involved)
- Histology: normal epidermis, grenz zone above diffuse infiltrate of neutrophils, eosinophils, histiocytes and lymphocytes; leukocytoclastic vasculitis, often hemosiderin within dermis
- Treatment: often resistant; IL corticosteroid, dapsone, clofazamine, topical tacrolimus
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