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Idiopathic Facial Aseptic Granuloma: Review of an Evolving Clinical Entity
Author(s) -
Zitelli Kristine B.,
Sheil Amy T.,
Fleck Robert,
Schwentker Ann,
Lucky Anne W.
Publication year - 2015
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12571
Subject(s) - medicine , rosacea , asymptomatic , dermatology , nodule (geology) , granuloma , pathology , eyelid , surgery , paleontology , acne , biology
Idiopathic facial aseptic granuloma ( IFAG ), originally termed pyodermite froide du visage, describes a generally asymptomatic facial nodule presenting in childhood with clinical resemblance to pyoderma or cystic, granulomatous, or vascular lesions. Clinical understanding is constantly evolving, with recent observations indicating that IFAG may represent a subtype of childhood rosacea. We present a case of IFAG associated with eyelid chalazions in a 19‐month‐old boy. Although his clinical course paralleled previously reported IFAG cases, we observed a unique ultrasound variation during initial diagnostic examination. Further delineation of clinical, imaging, and histologic properties of IFAG may reveal insights into etiologic associations and ideal management.