“…Non-necrotizing granuloma is formed as a result of the collection of highly differentiated mononuclear phagocytes (epithelioid cells and multinucleated giant cells), Schaumann bodies or asteroid bodies, patchy fibrosis, and lymphocytes (3,15,16). Three categories of potential etiologic factors have previously been defined: infective, noninfective, and genetic (17). Viruses (herpes, Epstein-Barr, retrovirus, coxsackie B virus, and cytomegalovirus), Borrelia burgdorferi, Propionibacterium acnes, Mycobacterium tuberculosis and other mycobacteria, Mycoplasma orale, beryllium, aluminum, zirconium, clay, talc, hairspray, pine tree pollen, peanut dust, mineral oil, and drugs (e.g.…”