IDIOPATHIC FACIAL ASEPTIC GRANULOMA
By Gary M. White, MD
- The average age was 3.8 years (range 8 months–13 yrs) in a review of 30 cases [Br J Dermatol 2007;156:705–708].
- It may be a variant of rosacea [Peds Derm 2013;30;429], supported by the fact that the patient can have ocular signs of rosacea.
A single nodule on the cheek is seen in 90% of cases. The average lesions is 1 cm in size Cultures are usually negative.
Treatment is not usually beneficial. In the above study, spontaneous resolution occurred after an average of 11 months (range 2–24 months). Topical acne and rosacea treatments, e.g., metronidazole, erythromycin, as well as oral erythromycin, have been tried.
The classic presentation. A solitary lesion on the cheek. From Peds Derm 2015;32;e136–e139
Dermatology Online Journal 16(1)
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