Idiopathic aseptic facial granuloma: A retrospective study of 43 cases.
Pediatr Dermatol
; 41(2): 243-246, 2024.
Article
in En
| MEDLINE
| ID: mdl-38413004
ABSTRACT
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Chalazion
/
Rosacea
/
Connective Tissue Diseases
/
Dermatitis
/
Facial Dermatoses
Limits:
Child
/
Female
/
Humans
Language:
En
Journal:
Pediatr Dermatol
Year:
2024
Document type:
Article
Affiliation country:
Argentina