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Página de Inicio arrow Artículos Científicos arrow A toddler with facial nodules: A case of idiopathic facial aseptic granuloma
A toddler with facial nodules: A case of idiopathic facial aseptic granuloma Imprimir E-Mail
A toddler with facial nodules: A case of idiopathic facial aseptic granuloma   
Gabriel J Martinez-Diaz BS1, Jinah Kim MD PhD2, Anna L Bruckner MD3
Dermatology Online Journal 16 (1): 9
1. Stanford University School of Medicine
2. Departments of Pathology and Dermatology, Stanford University
3. Departments of Dermatology and Pediatrics, Stanford University School of Medicine

Abstract

We describe the case of a 3-year-old boy who presented with several asymptomatic facial nodules present for six months. A skin biopsy obtained from the nodules showed a moderately well-defined granuloma in the superficial and deep dermis. A squamous epithelial lined cyst, extravasated keratin, or shadow cells were not identified.Bartonella henselae titers and the Coccidioidomycosis immitisimmunodiffusion test were negative; a Tuberculin Skin Test was non-reactive. Fite, Periodic acid-Schiff (PAS) and Gomori-Grocott methenamine silver (GMS) stains failed to identify microorganisms. In addition, tissue cultures for bacteria, fungus, and acid fast bacilli were negative. In light of the clinical findings, histology, and negative cultures, a diagnosis of idiopathic facial aseptic granuloma (IFAG) was made. After the biopsy, the child was treated with erythromycin and clarithromycin, each for one month, and the lesions slowly improved.
 
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