Dr. Teran is from the Department of Dermatology, The University of Texas Medical Branch, Galveston. Drs. Belote, Cropley, Gru, and Zlotoff are from the Department of Dermatology, University of Virginia Health System, Charlottesville. Dr. Gru also is from the Department of Pathology.
Cutis. 2021 Oct;108(4):E5-E10. doi: 10.12788/cutis.0377.
Noninfectious facial papular granulomas can be the presentation of several conditions, including granulomatous periorificial dermatitis, granulomatous rosacea, lupus miliaris disseminatus faciei, and papular sarcoidosis. Although these entities are treated distinctly from one another, they share several clinical and histological characteristics. We present 2 cases of facial papular granuloma: one patient presented with granulomatous rosacea, and the other had a presentation consistent with sarcoidosis but also demonstrated features of granulomatous periorificial dermatitis and had a protracted course of treatment. Such cases exemplify heterogeneity in the evaluation and management of this cutaneous lesion and highlight the necessity of appreciating its various potential causes.
非感染性面部丘疹性肉芽肿可由多种疾病引起，包括肉芽肿性口周皮炎、肉芽肿性酒渣鼻、播散性粟粒状狼疮和丘疹性结节病。尽管这些疾病的治疗方法各不相同，但它们具有一些共同的临床和组织学特征。我们报告了 2 例面部丘疹性肉芽肿：1 例患者表现为肉芽肿性酒渣鼻，另 1 例患者表现符合结节病，但也具有肉芽肿性口周皮炎的特征，且治疗过程迁延。这些病例说明了在评估和处理这种皮肤病变时存在异质性，并强调了认识其各种潜在病因的必要性。
