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Robert V. Kolbusz, MD; Roger W. Pearson, MD

Arch Dermatol. 1993;129(5):637-638.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 42-year-old white man was seen in our dermatology clinic with a 1-year history of a slowly enlarging asymptomatic plaque on the left cheek. He was otherwise healthy and was receiving no long-term medications. On examination, a welldefined firm plaque on the left cheek measured 2.0x2.5 cm in greatest dimensions. It was red-brown in color with a smooth surface texture (Fig 1).

A biopsy specimen was taken from the lateral edge of the plaque (Figs 2 through 4).

What is your diagnosis?

DIAGNOSIS:

Granuloma faciale.

DISCUSSION

Granuloma faciale occurs as soft, elevated, circumscribed plaques or nodules varying in size from a few millimeters to several centimeters.^1,2 The color varies from violaceous to dusky brown. Most patients are asymptomatic, but burning, stinging, tenderness, and itching have been reported.² Ulceration never occurs, the surface is smooth, and the follicular orifices are accentuated . . . [Full Text PDF of this Article]

Author Affiliations
Rush-Presbyterian—St Luke's Medical Center, Chicago, Ill

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