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May 1993

A Solitary Plaque of the Cheek—Granuloma Faciale

Author Affiliations

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

Arch Dermatol. 1993;129(5):637-638. doi:10.1001/archderm.1993.01680260107018

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 2.0×2.5 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

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