Granuloma Faciale: Comparison of Different Treatment Modalities

Abstract

Granuloma faciale is an uncommon cutaneous condition characterized by brownish-red macules, papules, nodules, and plaques. Separate areas of granuloma faciale involving the nasal skin of a 32-year-old man were treated using electrosurgery, carbon dioxide laser, and dermabrasion. All modalities provided good cosmetic and functional outcomes. The relative advantages and disadvantages of each technique are presented.

Granuloma faciale: A clinicopathological study of 11 cases

“…Dermabrasion, argon and CO 2 lasers, electrosurgery, and cryotherapy have all been used with some success. [17][18][19] In addition, dapsone, clofazimine, antimalarials, topical or intralesional or systemic corticosteriods, and topical psoralen with ultraviolet A have each been used in the treatment of individual cases. 1,[20][21][22][23][24] The combination of cryotherapy and intralesional corticosteroid injection almost completely cleared the lesions in 9 patients.…”

Granuloma faciale with extra-facial involvement

“…[10] Granuloma faciale is usually symptomless. [13] Good improvement with is highly characteristic of granuloma faciale. [3] The skin is the primary organ system that is affected.…”

Treatment of Granuloma Faciale With the 585-nm Pulsed Dye Laser

“…Other investigators, however, were unable to reproduce their results. In a sideby-side comparison of electrosurgery, carbon dioxide laser, and dermabrasion, Dinehart et al 28 noted a recurrence in all 3 sites at 1 year. Also, the argon laser was thought to be a promising treatment for granuloma faciale.…”