Rodríguez-Bandera A I, Feito-Rodríguez M, Maseda-Pedrero R, de Lucas-Laguna R
Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España.
Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España.
Actas Dermosifiliogr (Engl Ed). 2018 Sep;109(7):e1-e5. doi: 10.1016/j.ad.2017.08.016. Epub 2017 Dec 6.
Idiopathic facial aseptic granuloma is a typical childhood disease characterized by the presence of one or more asymptomatic nodules on the cheek. Although pathogenesis remains unclear, the disease is thought to be a type of childhood rosacea. It resolves spontaneously, yet it could be confused with other lesions that require treatment. We present clinical and ultrasound findings and outcome from 3 new cases. In 2 cases, the lesion presented as childhood rosacea. Ultrasound revealed a characteristic pattern, with variations depending on the stage of development. High-frequency ultrasound can facilitate the differential diagnosis and thus obviate unnecessary biopsy or excision.
特发性面部无菌性肉芽肿是一种典型的儿童疾病,其特征是脸颊上出现一个或多个无症状结节。尽管发病机制尚不清楚,但该疾病被认为是儿童酒渣鼻的一种类型。它可自发消退,但可能与其他需要治疗的病变相混淆。我们报告3例新病例的临床、超声检查结果及转归。其中2例病变表现为儿童酒渣鼻。超声显示出一种特征性模式,随发育阶段不同而有所变化。高频超声有助于鉴别诊断,从而避免不必要的活检或切除。