Borok Jenna, Holmes Ralph, Dohil Magdalene
Department of Dermatology, Rady Children's Hospital, San Diego, CA, USA.
David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Pediatr Dermatol. 2018 Jul;35(4):490-493. doi: 10.1111/pde.13492. Epub 2018 Apr 6.
Idiopathic facial aseptic granuloma is a distinct, benign lesion that presents in very young children and is characterized by a painless facial nodule that usually appears on the cheek. It is typically characterized by a prolonged course but heals spontaneously or in response to antibiotic treatment. The challenge is to diagnose this entity correctly, ideally based on clinical acumen, to avoid surgical intervention with facial sutures and the resultant scarring and unnecessary treatment interventions. In this article, we discuss three cases of idiopathic facial aseptic granuloma to raise awareness and highlight the diagnostic challenges and possible link to childhood rosacea.
特发性面部无菌性肉芽肿是一种独特的良性病变，多见于幼儿，其特征为通常出现在脸颊上的无痛性面部结节。它的典型特征是病程较长，但可自发愈合或对抗生素治疗有反应。挑战在于正确诊断这一病症，理想情况下依靠临床敏锐度，以避免面部缝合的手术干预以及由此产生的疤痕和不必要的治疗干预。在本文中，我们讨论三例特发性面部无菌性肉芽肿病例，以提高认识并突出诊断挑战以及与儿童酒渣鼻可能存在的联系。
