RESUMO
BACKGROUND: Idiopathic aseptic facial granuloma (IAFG) is an underrecognized pediatric skin disease, currently considered within the spectrum of rosacea. It usually manifests as a solitary, reddish, asymptomatic nodule on the cheek that resolves spontaneously. METHODS: Retrospective and descriptive observational study of 43 pediatric patients with a clinical diagnosis of IAFG, followed between 2004 and 2022, at two general hospitals in Argentina. RESULTS: IAFG predominated in girls (65%) and the average age of onset was about 6 years. A single asymptomatic nodule was seen in 79% of patients. The most common localization was the cheek (58%) followed by lower eyelids (41%). Family history of rosacea was present in 16% of patients. A concomitant diagnosis of rosacea and periorificial dermatitis was made in 14% and 9% of our population, respectively. Past or present history of chalazia was detected in 42% of the children. IAFG diagnosis was mainly clinical (88% of cases). Oral antibiotics were the most common indicated treatment (84%). Complete healing was achieved by the majority, but 18% of those with eyelid compromise healed with scars. CONCLUSIONS: IAFG is a benign pediatric condition that physicians should recognize in order to manage correctly. We herein refer to a particular morphologic aspect of IAFG lesions affecting the lower eyelids, where nodules adopt a linear distribution and have a higher probability of involute leaving a scar. Also, we consider that the concomitant findings of rosacea, periorificial dermatitis and chalazia in our patients, reinforce the consideration of IAFG within the spectrum of rosacea.
Assuntos
Calázio , Doenças do Tecido Conjuntivo , Dermatite , Dermatoses Faciais , Rosácea , Feminino , Humanos , Criança , Estudos Retrospectivos , Calázio/complicações , Calázio/diagnóstico , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/tratamento farmacológico , Dermatoses Faciais/patologia , Granuloma/diagnóstico , Granuloma/tratamento farmacológico , Rosácea/diagnóstico , Rosácea/tratamento farmacológico , Rosácea/epidemiologiaAssuntos
Dermatoses Faciais , Hiperpigmentação , Lúpus Vulgar , Rosácea , Humanos , Minociclina/efeitos adversos , Rosácea/induzido quimicamente , Rosácea/diagnóstico , Rosácea/tratamento farmacológico , Hiperpigmentação/induzido quimicamente , Hiperpigmentação/diagnóstico , Dermatoses Faciais/induzido quimicamente , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/tratamento farmacológicoRESUMO
BACKGROUND: Therapeutic make-up has previously been proven to be efficacious in improving the quality of life of patients with facial dermatoses, but its efficacy has only been assessed in the short term (less than one month). OBJECTIVES: This study aimed to determine whether the effect of therapeutic make-up on patients' quality of life persists in the longer term, i.e., after one year. MATERIALS & METHODS: This study included 53 patients who benefited from a therapeutic make-up consultation in the context of various facial dermatoses (pigmentation disorders, scars, acne, rosacea, eczema, adverse events of chemotherapy, etc.). Patients were asked to complete a quality-of-life questionnaire to obtain the Skindex score at baseline, and one month (M1) and one year (M12) after the first consultation. The difference in scores between baseline and M12 was calculated and Student's t-test was used to assess the significance of the values. RESULTS: Our results showed a significant difference (p<0.001) with an improvement in quality-of-life score by more than 10% between baseline and M12, for all the dimensions of the score (Emotion, Symptoms and Functioning). Based on the subgroup analysis, this score particularly improved for patients suffering with acne or rosacea (p=0.009) and scars (p=0.43), as well as for younger patients (<30 years old) (p=0.009). CONCLUSION: This is the first study to demonstrate a persistent long-term effect of therapeutic make-up on the quality of life of patients with facial dermatoses.
Assuntos
Acne Vulgar , Dermatoses Faciais , Rosácea , Humanos , Adulto , Cicatriz/patologia , Qualidade de Vida , Acne Vulgar/tratamento farmacológico , Rosácea/tratamento farmacológico , Dermatoses Faciais/tratamento farmacológicoRESUMO
Aseptic facial granuloma is a rare pediatric disease, presenting with asymptomatic facial nodules on the cheeks or the eyelids and may represent a form of granulomatous rosacea in children. In this retrospective case series, 12 children with aseptic facial granuloma were treated with oral macrolides (erythromycin or roxithromycin) resulting in a healing of the lesions within a mean treatment time of 5.25 months with no recurrences. The treatment was mainly well tolerated. Oral macrolides may be effective in the treatment of patients with aseptic facial granuloma.
Assuntos
Dermatoses Faciais , Rosácea , Criança , Humanos , Macrolídeos/uso terapêutico , Estudos Retrospectivos , Antibacterianos/uso terapêutico , Granuloma/tratamento farmacológico , Granuloma/patologia , Rosácea/tratamento farmacológico , Bochecha/patologia , Dermatoses Faciais/tratamento farmacológico , Dermatoses Faciais/patologiaRESUMO
For legal reasons, the publisher has withdrawn this article from public view. For additional information, please contact the publisher.
Assuntos
Celulite (Flegmão) , Dermatoses Faciais , Herpes Simples , Luta Romana , Humanos , Masculino , Povo Asiático , Celulite (Flegmão)/tratamento farmacológico , Celulite (Flegmão)/etiologia , Celulite (Flegmão)/virologia , República da Coreia , Esportes , Herpesvirus Humano 1 , Herpes Simples/tratamento farmacológico , Herpes Simples/etiologia , Herpes Simples/virologia , Dermatoses Faciais/tratamento farmacológico , Dermatoses Faciais/etiologia , Dermatoses Faciais/virologia , Aciclovir/uso terapêutico , Antivirais/uso terapêutico , AdolescenteAssuntos
Acne Vulgar , Fármacos Dermatológicos , Dermatoses Faciais , Acne Vulgar/tratamento farmacológico , Adapaleno , Adulto , Fármacos Dermatológicos/uso terapêutico , Dermatoses Faciais/tratamento farmacológico , Géis , Humanos , Hiperplasia/patologia , Masculino , Glândulas Sebáceas/patologia , Resultado do TratamentoRESUMO
Não se aplica, trata-se de uma carta
Not applicable, this is a letter.
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Cisteamina/administração & dosagem , Dermatoses Faciais/tratamento farmacológico , Melanose/tratamento farmacológico , Projetos Piloto , Eficácia , Estudos Prospectivos , Resultado do TratamentoAssuntos
Dermatite Alérgica de Contato/etiologia , Dermatoses Faciais/induzido quimicamente , Glicóis/efeitos adversos , Pentanos/efeitos adversos , Creme para a Pele/efeitos adversos , Corticosteroides/uso terapêutico , Adulto , Dermatite Alérgica de Contato/tratamento farmacológico , Dermatoses Faciais/tratamento farmacológico , Feminino , HumanosRESUMO
The rarity of Melkersson-Rosenthal syndrome, or orofacial granulomatosis, can present with persistent midface bogginess. The management for previous reported cases has included corticosteroid injections, antihistamines, and antibiotics. In the current reported case, the patient was treated with 5-fluorouracil and has been responding positively. Additionally, the patient has not shown signs of steroid atrophy.