Granuloma faciale: Exclusively extrafacial

Abstract

We report a case of granuloma faciale over distal extremities in a 60-year-old man without facial lesions who did not show any response to dapsone.

Extrafacial Granuloma Faciale: A Case Report and Brief Review

“…To our knowledge there have been 32 previously reported cases of extrafacial GF (Table 1) [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25]. In these cases the average age of the patients was 51 years, with 68.5% being male.…”

Granuloma faciale successfully treated with ingenol mebutate

“…Extrafacial or disseminated GF (trunk, extremities, scalp) has also been reported but is rare and it usually coexists with facial lesions . Extrafacial isolated involvement is extremely rare .…”

“…Clinically, it appears as single or multiple, well‐demarcated, red‐brownish papules, plaques or nodules, located on the face or sun exposed areas, often with follicular accentuation and superficial telangiectasias. Lesions are usually asymptomatic and slowly growing .…”

A Case Series of Extrafacial Granuloma Faciale

“…Granuloma faciale (GF) is an uncommon inflammatory dermatosis involving persistent reddish brown or violaceous patches, papules, nodules, or plaques. [ 1 2 3 ] Classically, it involves the face (especially, nose, forehead, and cheeks),[ 4 ] with extrafacial involvement being uncommon. [ 5 ] Lesions may demonstrate a smooth surface with superficial telangiectasia, follicular accentuation, and a peau d’orange appearance.…”

“…[ 2 ] Interventional options include intralesional corticosteroids, laser, phototherapy, cryotherapy, intralesional rituximab, dermabrasion, and surgical excision. [ 1 4 ] Recently, refractory GF was reported to respond to topical tofacitinib. [ 3 ]…”