Idiopathic Aseptic Facial Granuloma
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Keywords
Rosacea; Acne; Children
Abstract
Pyodermite froide du visage, otherwise known as idiopathic facial aseptic granuloma (IFAG), is a benign lesion exclusively seen in children and presents as a cold abscess on the face.1 We report a case of a 14-year-old male with IFAG who failed initial treatment with oral doxycycline, but responded to treatment with oral 13-cis-retinoic acid, oral trimethoprim-sulfamethoxazole and intralesional triamcinolone injections over a 7 month period.
References
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3. Orion C, Sfecci A, Tisseau L, Darrieux L, Safa G. Idiopathic facial aseptic granuloma in a 13-year-old boy dramatically improved with oral doxycycline and topical metronidazole: Evidence for a link with childhood rosacea. Case Rep. Dermatol. 2016;8:197-201. doi:10.1159/000447624.
4. Boralevi F, Léauté C, Lepreus S et al. Idiopathic facial aseptic granuloma: a multicenter prospective study of 30 cases. Br J Dermatol 2007;156:705-708
5. Lee, G. and Fischer, G. (2020), Isotretinoin therapy for idiopathic aseptic facial granuloma. Australas J Dermatol. doi:10.1111/ajd.13257
6. Neri I, Raone B, Dondi A et al. Should idiopathic facial aseptic granuloma be considered granulomatous rosacea? Report of three pediatric cases. Pediatr. Dermatol. 2013;30:109-11.
7.Satta, R., Montesu, M.A., Biondi, G. and Lissia, A. (2016), Idiopathic facial aseptic granuloma: case report and literature review. Int J Dermatol, 55: 1381-1387. doi:10.1111/ijd.13161
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