Idiopathic Facial Aseptic Granuloma: Updated Review of Diagnostic and Therapeutic Difficulties. / Granuloma aséptico facial idiopático: revisión actualizada de las dificultades diagnósticas y terapéuticas.

Idiopathic facial aseptic granuloma is a pediatric skin condition involving asymptomatic reddish nodules. The etiology and pathogenesis is still under discussion, although the literature tends to place this condition within the spectrum of childhood rosaceas. The clinical course is chronic but benign, and cases have been reported to resolve spontaneously in less than a year. Even though no well-defined treatment has emerged, a conservative approach that avoids aggressive therapies is preferred.

Idiopathic Facial Aseptic Granuloma: Clinical and Ultrasound Findings in 3 Cases. / Granuloma aséptico facial idiopático: hallazgos clínicos y ecográficos de 3 casos.

Idiopathic facial aseptic granuloma is a typical childhood disease characterized by the presence of one or more asymptomatic nodules on the cheek. Although pathogenesis remains unclear, the disease is thought to be a type of childhood rosacea. It resolves spontaneously, yet it could be confused with other lesions that require treatment. We present clinical and ultrasound findings and outcome from 3 new cases. In 2 cases, the lesion presented as childhood rosacea. Ultrasound revealed a characteristic pattern, with variations depending on the stage of development. High-frequency ultrasound can facilitate the differential diagnosis and thus obviate unnecessary biopsy or excision.

Granuloma aséptico facial idiopático / Idiopathic facial aseptic granuloma

Idiopathic facial aseptic granuloma (IFAG) is characterized by the appearance of a painless reddish nodule in the facial region and is exclusive to children. It is usually located on the cheek. The resolution of these lesions is usually spontaneous in months and they heal without leaving a scar or with minimal scarring. Its etiology is unknown. The diagnosis is fundamentally clinical, although sometimes complementary tests such as ultrasound can be used. This pathology presents a chronic but benign clinical course with spontaneous resolution, so in these cases a wait-and-see approach is preferred (AU)

Idiopathic facial aseptic granuloma (IFAG) is characterized by the appearance of a painless reddish nodule in the facial region and is exclusive to children. It is usually located on the cheek. The resolution of these lesions is usually spontaneous in months and they heal without leaving a scar or with minimal scarring. Its etiology is unknown. The diagnosis is fundamentally clinical, although sometimes complementary tests such as ultrasound can be used. This pathology presents a chronic but benign clinical course with spontaneous resolution, so in these cases a wait-and-see attitude is preferred. (AU)

Granuloma aséptico facial idiopático: A propósito de un caso / Idiopathic facial aseptic granuloma: A case report

El granuloma aséptico facial idiopático (GAFI) es una afección de la infancia, que se caracteriza por nodulos faciales eritematovioláceos asintomáticos, usualmente confundidos con abscesos. Su patogénesis es desconocida, pero algunos autores han postulado su relación con la rosácea infantil. Se presenta el caso de un paciente con diagnóstico clínico de granuloma aséptico facial idiopático, con compromiso ocular y buena respuesta al tratamiento con metronidazol por vía oral.

Idiopathic facial aseptic granuloma is a childhood condition characterized by asymptomatic erythematous-violaceous nodules, often confused with abscesses. Its pathogenesis is unknown, but some authors have postulated its relationship with infantile rosacea. We present a case of a patient with a clinical diagnosis of idiopathic facial aseptic granuloma, with ocular involvement and a good response to oral metronidazole treatment.