Open AccessA rare case of granuloma faciale presenting with ulceration: A case report
Author(s) -
Farhan Mahmood,
Iris Teo,
Steven J. Glassman
Publication year - 2022
Publication title -
sage open medical case reports
Language(s) - English
Resource type - Journals
ISSN - 2050-313X
DOI - 10.1177/2050313x221093150
Subject(s) - medicine , pyogenic granuloma , dermatology , granuloma , asymptomatic , sarcoidosis , triamcinolone acetonide , granuloma annulare , pathology , lesion , surgery
Granuloma faciale is an uncommon inflammatory dermatosis characterized by persistent dermal plaques, typically on the face, that mimic granulomatous disorders like sarcoidosis. Ulceration of granuloma faciale has very rarely been reported, and the plaques are usually asymptomatic and of cosmetic impact. We present a case of an 83-year-old male with recurrent granuloma faciale with spontaneous ulceration and monoclonal gammopathy of undetermined significance. Intralesional triamcinolone, 10 mg/mL monthly for 5 months, with pimecrolimus cream twice daily resolved the ulceration and the lesion continues to flatten and lighten. Ulceration is rare and atypical in granuloma faciale lesions which can be treated.