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Treatment of Granuloma Faciale With the 585-nm Pulsed Dye Laser
Christie T. Ammirati, MD;
George J. Hruza, MD
Division of Dermatology, Washington University School of Medicine, St Louis, Mo
Arch Dermatol. 1999;135:903-905.
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REPORT OF A CASE
A 41-year-old white man with a long history of acne rosacea was referred for evaluation of a persistent erythematous lesion on his nose. The lesion had been present for 2 years and had proved resistant to topical and oral antibiotic therapy. Examination of the patient's face revealed malar erythema, scattered acneiform papules, and an absence of comedones, consistent with mild acne rosacea. On the dorsum of the nose, there was a discrete 2-cm, reddish-brown, indurated plaque with prominent telangiectasias (Figure 1). The clinical differential diagnosis included granuloma faciale, sarcoidosis, and discoid lupus erythematosus. Histopathologic findings were consistent with granuloma faciale and revealed a mixed infiltrate in the papillary and reticular dermis composed of neutrophils, eosinophils, plasma cells, lymphocytes, and monocytes. There was an overlying Grenz zone noted, as well as associated leukocytoclastic vasculitis.
Figure appears in full text version.
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THERAPEUTIC CHALLENGE
SOLUTION
COMMENT
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