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 3.42
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