Idiopathic Facial Aseptic Granuloma: Usefulness of Cutaneous Ultrasound

Vázquez‐Osorio, Igor; Álvarez‐Cuesta, César Cosme; Rodríguez-González, L.; Rodríguez‐Díaz, Eloy

doi:10.1016/j.adengl.2017.02.015

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Additionally, there can be hypervascularization due to inflammation. In later stages, it can evolve into a hypoechoic lesion with regular margins and no vascularization, as we have observed in our patients 5–8 …”

Section: Discussionsupporting

confidence: 72%

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Idiopathic aseptic facial granuloma: A retrospective study of 43 cases

Kuperman Wilder,

Lamberti,

Boggio

et al. 2024

Pediatric Dermatology

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BackgroundIdiopathic aseptic facial granuloma (IAFG) is an underrecognized pediatric skin disease, currently considered within the spectrum of rosacea. It usually manifests as a solitary, reddish, asymptomatic nodule on the cheek that resolves spontaneously.MethodsRetrospective and descriptive observational study of 43 pediatric patients with a clinical diagnosis of IAFG, followed between 2004 and 2022, at two general hospitals in Argentina.ResultsIAFG predominated in girls (65%) and the average age of onset was about 6 years. A single asymptomatic nodule was seen in 79% of patients. The most common localization was the cheek (58%) followed by lower eyelids (41%). Family history of rosacea was present in 16% of patients. A concomitant diagnosis of rosacea and periorificial dermatitis was made in 14% and 9% of our population, respectively. Past or present history of chalazia was detected in 42% of the children. IAFG diagnosis was mainly clinical (88% of cases). Oral antibiotics were the most common indicated treatment (84%). Complete healing was achieved by the majority, but 18% of those with eyelid compromise healed with scars.ConclusionsIAFG is a benign pediatric condition that physicians should recognize in order to manage correctly. We herein refer to a particular morphologic aspect of IAFG lesions affecting the lower eyelids, where nodules adopt a linear distribution and have a higher probability of involute leaving a scar. Also, we consider that the concomitant findings of rosacea, periorificial dermatitis and chalazia in our patients, reinforce the consideration of IAFG within the spectrum of rosacea.

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Section: Discussionsupporting

confidence: 72%

“…In later stages, it can evolve into a hypoechoic lesion with regular margins and no vascularization, as we have observed in our patients. [5][6][7][8] IAFG generally undergoes spontaneous resolution in about a year.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic aseptic facial granuloma: A retrospective study of 43 cases

Kuperman Wilder,

Lamberti,

Boggio

et al. 2024

Pediatric Dermatology

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“…IFAG was initially described according to US as a well‐defined, hypoechoic solid lesion without calcium deposits . Subsequent reports confirmed such findings until Zitelli and colleagues, using a 12‐MHz linear probe, reported a case of an ill‐defined lesion with a hypoechoic center, lobulated margins, and irregular posterior wall, along with posterior acoustic enhancement. These findings led the authors to perform a biopsy, with histologic analysis being consistent with IFAG.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound findings in idiopathic facial aseptic granuloma: Case series and literature review

Knöpfel

Gómez‐Zubiaur

Noguera‐Morel

et al. 2017

Pediatric Dermatology

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Idiopathic facial aseptic granuloma is an inflammatory nodule commonly located on the cheeks and eyelids in young children. Despite its prolonged course, it tends toward spontaneous resolution, so invasive diagnostic procedures should be avoided. Cutaneous ultrasound is a noninvasive modality that has been found to improve the diagnostic accuracy of nodular skin lesions. We report five children with idiopathic facial aseptic granuloma in whom high-resolution ultrasound examination provided distinctive findings.

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Role of Color Doppler Ultrasound in the Diagnosis of Idiopathic Facial Aseptic Granuloma

Wortsman

2018

Actas Dermo-Sifiliográficas (English Edition)

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Idiopathic Facial Aseptic Granuloma: Usefulness of Cutaneous Ultrasound

Cited by 4 publications

References 9 publications

Idiopathic aseptic facial granuloma: A retrospective study of 43 cases

Idiopathic aseptic facial granuloma: A retrospective study of 43 cases

Ultrasound findings in idiopathic facial aseptic granuloma: Case series and literature review

Role of Color Doppler Ultrasound in the Diagnosis of Idiopathic Facial Aseptic Granuloma

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