Clinical Features:

• Idiopathic eruption of brown-red plaques on the face of older adults

Histologic Features:

• Not truly granulomatous: dense, diffuse mixed dermal infiltrate comprised primarily of neutrophils with smaller numbers of mononuclear cells, plasma cells and mast cells
• A band of uninvolved dermis (grenz zone) separates the infiltrate from the epidermis and pilosebaceous units.
• Leukocytoclastic vasculitis may occur, but is usually mild.
• Red blood cell extravasation may occasionally occur.

External Links:

• Dermnet NZ
• Wikipedia

Cases associated with this book:

Granuloma faciale
Author: Artur Zembowicz M.D. Ph.D.

Conference: DermatopathologyConsultations.com Teaching Collection