Granuloma Faciale Clinical Presentation

Updated: Apr 05, 2021
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Presentation

History

Granuloma faciale is usually asymptomatic. It rarely may be tender or cause itching or stinging. Lesions may darken upon sun exposure.

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Physical Examination

Solitary or, more commonly, multiple, soft, elevated, and well-circumscribed papules, plaques, or nodules are observed. See the images below.

Solitary, well-demarcated, brown-red plaque associ Solitary, well-demarcated, brown-red plaque associated with granuloma faciale.
Solitary, well-demarcated, brown-red plaque associ Solitary, well-demarcated, brown-red plaque associated with granuloma faciale.
Solitary, well-demarcated, brown-red plaque associ Solitary, well-demarcated, brown-red plaque associated with granuloma faciale.
Granuloma faciale. Granuloma faciale.

Lesions are most commonly located over the face. Reported extrafacial locations include the scalp, [10] the trunk, and the upper and lower extremities.

The size of the lesions varies from a few millimeters to several centimeters in diameter.

The color varies from shades of dull red to brown, blue, and purple.

Lesions have a smooth surface with prominent follicular orifices (peau d'orange) and may be covered by telangiectases. [11]

Granuloma faciale may clinically resemble rhinophyma clinically. [12]

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