Over the past 15 years, a distinctive facial granuloma has emerged as a clinical and histological entity. Recently, Johnson, Higdon, and Helwig have given a complete review of the disease and discussed 15 new cases. It is the purpose of this communication to present briefly a typical case, and to report a failure either to find a viral agent responsible, or to stimulate the production of a lesion on a nonfacial area.
Report of a Case
A 24-year-old white man developed a small, purplish, asymptomatic papule on the left side of his forehead during 1955. The lesion slowly enlarged. In June, 1959, a small papule developed more centrally on the forehead.When seen at the USAF Hospital, Lackland, in December, 1959, he was noted to have a purplishred, irregularly elevated, rubbery plaque measuring 3X2 cm. on the left side of his forehead, and a similar papule measuring 0.5 cm.