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March 1959


Author Affiliations

Cleveland Clinic

AMA Arch Derm. 1959;79(3):356-360. doi:10.1001/archderm.1959.01560150098018

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Granuloma Faciale (Eosinophilic). Presented by Dr. G. H. Curtis and Dr. D. J. Grant.

A 39-year-old white man, employed as a type-writer repairman, was admitted to the Cleveland Clinic Hospital on Jan. 28, 1958. He complained of a lesion on the left cheek. It began as a small red pruritic spot just anterior to the ear and has been slowly enlarging. Alcoholic beverages seemed to produce swelling and increased erythema, but he has not observed any effect from sunlight. Previous therapy had consisted of solid carbon dioxide, liquid nitrogen, and local injections of steroids. This treatment did not appear to be beneficial, as the lesion continued to enlarge.

On the left cheek, anterior to the left ear and extending into the hairline of the temple, there is a sharply demarcated, dully erythematous, infiltrated plaque. The surface has a mottled appearance due to irregular-shaped areas of depigmentation with slight

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