Idiopathic aseptic granuloma of the face L71.8

Etiologically as yet unexplained pustular clinical picture, possibly representing a special form of rosacea in children (González Rodríguez AJ et al. 2015).

Infancy

Cheeks

Painless, typically monolocular papules or nodules that tend to melt down and thus take on an abscess-like aspect. The affected children show no other clinical symptoms, especially no fever or leukocytosis.

Lymphocytic granuloma with giant cells

No incisions! Antibiotics are not always helpful. Oral metronidazole was successful in individual cases (Borok J et al. 2018).

Healing typically takes place over a period of several months.

1. Borok J et al (2018) Idiopathic facial aseptic granuloma-A diagnostic challenge in pediatric dermatology. Pediatric Dermatol 35:490-493.
2. González Rodríguez AJ et al. (2015) Idiopathic facial aseptic granuloma. Clin Exp Dermatol 40:298-300.
3. Rodríguez-Bandera AI et al. (2018) Idiopathic Facial Aseptic Granuloma: Clinical and Ultrasound Findings in 3 Cases. Actas Dermosifiliogr 109:e1-e5.
4. Roul S et al (2001) Idiopathic aseptic facial granuloma (pyodermite froide du visage): a pediatric entity? Arch Dermatol 137:1253-1255.
5. Satta R et al (2016) Idiopathic facial aseptic granuloma: case report and literature review. Int J Dermatol 55:1381-1387.