The differential diagnosis includes subacute cutaneous lupus, lichen planus, seborrheic dermatitis, Jessner's lymphocytic infiltrate, polymorphous light eruption, rosacea, granuloma faciale
, and sarcoidosis.
Granuloma faciale is an uncommon facial dermatosis with a distinctive clinical presentation and diagnostic histology, demonstrating a diffuse, polymorphous dermal infiltrate, separated from the epidermis and adnexal epithelium by a grenz zone.
In general, some of the inflammatory dermatosis that are discussed in this article occur exclusively in the face, such as granuloma faciale and orofacial granulomatosis, and the rest can affect only the face but may sometimes affect other parts of the body as well (eg, sarcoidosis, linear scleroderma, among others).
Welsh JH, Schroeder TL, Levy ML: Granuloma faciale
in a child successfully treated with the pulsed dye laser.
Differential diagnoses of ALHE include granuloma faciale
, persistent insect bite reaction, injection site granuloma, cutaneous lymphoma, cavernous hemangioma, pyogenic granuloma, angiomatous lymphoid hamartoma, pseudolymphoma (lymphocytic infiltrate of Jessner, lymphocytoma cutis), sarcoidosis and bacillary angiomatosis.
CLFV, which has been reported in the eyelid, is a unique variant of small vessel vasculitis that shows patterned and/or angiocentric fibrosis and is found in localized vasculitis syndromes like granuloma faciale and some cutaneous inflammatory pseudotumors as well as in systemic vasculitic syndromes like erythema elevatum diutinum and WG [11,34,35].
Localized chronic fibrosing vasculitis of the skin: an inflammatory reaction that occurs in settings other than erythema elevatum diutinum and granuloma faciale.
The differential diagnosis of DLE is extensive and includes actinic keratosis, dermatomyositis, granuloma annulare, granuloma faciale
, keratoacanthoma, lichen planus, subacute cutaneous lupus erythematosus, psoriasis, rosacea, sarcoidosis, squamous cell carcinoma, syphilis, and nongenital warts.
In addition, granuloma faciale and inflammatory pseudotumor could be excluded from the differential diagnosis because these diseases are not characterized by intense fibrosis and onionskin angiocentric whorling.
8) Some authors have reported that when EAF occurs in men, other entities such as granuloma faciale or Wegener's granulomatosis are more likely to coexist with the nasal lesion.
A diagnosis of granuloma faciale was made and the patient was put on intralesional steroid therapy.
Granuloma faciale is an idiopathic vasculitis Case report presenting as a granulomatous plaque or nodule A sixty-year-old rural housewife, non diabetic, 1-4 on the face usually.