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May 1991

Extrafacial Granuloma Faciale

Author Affiliations

Department of Dermatology University of Iowa Hospitals and Clinics Iowa City, IA 52242

Arch Dermatol. 1991;127(5):742-743. doi:10.1001/archderm.1991.01680040154026

To the Editor.—  Granuloma faciale is a benign, chronic skin disease manifested by dusky red-brown, well-demarcated macules, plaques, or nodules, usually confined to the face. Only six patients with extrafacial lesions have been reported.1-4 In these patients, the locations of the extrafacial lesions were on the trunk or upper extremities. We describe a patient with granuloma faciale with multiple extrafacial lesions, many of which have occurred on the lower extremities.

Report of a Case.—  A 57-year-old man was referred to the University of Iowa (Iowa City) dermatology clinic with a 2-year history of persistent, intermittently pruritic, red-brown plaques on his face, neck, and thighs. The first lesion developed on the anterior aspect of his neck and one or two similar lesions appeared every 2 to 4 months thereafter. Lesions have remained unchanged since onset.The patient's medical history was remarkable for a 20-year history of chronic urticaria, glaucoma, allergic