Granulomatous rosacea: unusual presentation as solitary plaque.
Identifieur interne : 004E59 ( Main/Exploration ); précédent : 004E58; suivant : 004E60Granulomatous rosacea: unusual presentation as solitary plaque.
Auteurs : Mayanka Batra ; Cherry Bansal ; Suman TulsyanSource :
- Dermatology online journal [ 1087-2108 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Anti-inflammatoires (usage thérapeutique), Dermatoses faciales (anatomopathologie), Dermatoses faciales (diagnostic), Dermatoses faciales (traitement médicamenteux), Diagnostic différentiel, Humains, Isotrétinoïne (usage thérapeutique), Mâle, Nez (anatomopathologie), Prednisolone (usage thérapeutique), Produits dermatologiques (usage thérapeutique), Rosacée (anatomopathologie), Rosacée (diagnostic), Rosacée (traitement médicamenteux).
- MESH :
- anatomopathologie : Dermatoses faciales, Nez, Rosacée.
- diagnostic : Dermatoses faciales, Rosacée.
- traitement médicamenteux : Dermatoses faciales, Rosacée.
- usage thérapeutique : Anti-inflammatoires, Isotrétinoïne, Prednisolone, Produits dermatologiques.
- Adulte d'âge moyen, Diagnostic différentiel, Humains, Mâle.
English descriptors
- KwdEn :
- Anti-Inflammatory Agents (therapeutic use), Dermatologic Agents (therapeutic use), Diagnosis, Differential, Facial Dermatoses (diagnosis), Facial Dermatoses (drug therapy), Facial Dermatoses (pathology), Humans, Isotretinoin (therapeutic use), Male, Middle Aged, Nose (pathology), Prednisolone (therapeutic use), Rosacea (diagnosis), Rosacea (drug therapy), Rosacea (pathology).
- MESH :
- chemical , therapeutic use : Anti-Inflammatory Agents, Dermatologic Agents, Isotretinoin, Prednisolone.
- diagnosis : Facial Dermatoses, Rosacea.
- drug therapy : Facial Dermatoses, Rosacea.
- pathology : Facial Dermatoses, Nose, Rosacea.
- Diagnosis, Differential, Humans, Male, Middle Aged.
Abstract
A 45-year-old male presented with a 6 month history of an enlarging smooth, erythematous plaque over the central part of his face. Mild erythema of both eyes was present. Sarcoidosis, Hansen disease, lupus vulgaris, cutaneous leishmaniasis, pseudolymphoma, foreign body granuloma, granuloma faciale, discoid lupus erythematosus, and granulomatous rosacea were considered in the differential diagnosis. CBC, urinalysis, renal function tests, liver function tests, serum electrolytes, and blood sugar were all normal. Chest X-ray and ECG revealed no abnormality. Serology for syphilis and HIV, and mantoux test were negative. Slit-skin smear, tissue smear and culture for AFB and fungi were negative. Skin biopsy revealed multiple non-caseating epitheloid granulomas around the pilosebaceous unit suggestive of granulomatous rosacea. Granulomatous rosacea, a rare entity comprising only about 10 percent of cases of rosacea can mimic many granulomatous conditions both clinically and histologically making the diagnosis an enigma. It usually presents as yellowish brown-red discrete papules on the face; non-caseating epithelioid granulomas are seen on histology examination. We herein report the case because it presented in atypical fashion, as a solitary indurated plaque on the nose, likely representing Morbihan's disease or solid persistent facial edema of rosacea (rosacea lymphedema).
PubMed: 21382292
Affiliations:
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last="Tulsyan">Suman Tulsyan</name></author></analytic><series><title level="j">Dermatology online journal</title><idno type="eISSN">1087-2108</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anti-Inflammatory Agents (therapeutic use)</term><term>Dermatologic Agents (therapeutic use)</term><term>Diagnosis, Differential</term><term>Facial Dermatoses (diagnosis)</term><term>Facial Dermatoses (drug therapy)</term><term>Facial Dermatoses (pathology)</term><term>Humans</term><term>Isotretinoin (therapeutic use)</term><term>Male</term><term>Middle Aged</term><term>Nose (pathology)</term><term>Prednisolone (therapeutic use)</term><term>Rosacea (diagnosis)</term><term>Rosacea (drug therapy)</term><term>Rosacea (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anti-inflammatoires (usage 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xml:lang="en"><term>Facial Dermatoses</term><term>Rosacea</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dermatoses faciales</term><term>Rosacée</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Facial Dermatoses</term><term>Rosacea</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Facial Dermatoses</term><term>Nose</term><term>Rosacea</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Dermatoses faciales</term><term>Rosacée</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anti-inflammatoires</term><term>Isotrétinoïne</term><term>Prednisolone</term><term>Produits dermatologiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Diagnostic différentiel</term><term>Humains</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 45-year-old male presented with a 6 month history of an enlarging smooth, erythematous plaque over the central part of his face. Mild erythema of both eyes was present. Sarcoidosis, Hansen disease, lupus vulgaris, cutaneous leishmaniasis, pseudolymphoma, foreign body granuloma, granuloma faciale, discoid lupus erythematosus, and granulomatous rosacea were considered in the differential diagnosis. CBC, urinalysis, renal function tests, liver function tests, serum electrolytes, and blood sugar were all normal. Chest X-ray and ECG revealed no abnormality. Serology for syphilis and HIV, and mantoux test were negative. Slit-skin smear, tissue smear and culture for AFB and fungi were negative. Skin biopsy revealed multiple non-caseating epitheloid granulomas around the pilosebaceous unit suggestive of granulomatous rosacea. Granulomatous rosacea, a rare entity comprising only about 10 percent of cases of rosacea can mimic many granulomatous conditions both clinically and histologically making the diagnosis an enigma. It usually presents as yellowish brown-red discrete papules on the face; non-caseating epithelioid granulomas are seen on histology examination. We herein report the case because it presented in atypical fashion, as a solitary indurated plaque on the nose, likely representing Morbihan's disease or solid persistent facial edema of rosacea (rosacea lymphedema).</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Bansal, Cherry" sort="Bansal, Cherry" uniqKey="Bansal C" first="Cherry" last="Bansal">Cherry Bansal</name><name sortKey="Batra, Mayanka" sort="Batra, Mayanka" uniqKey="Batra M" first="Mayanka" last="Batra">Mayanka Batra</name><name sortKey="Tulsyan, Suman" sort="Tulsyan, Suman" uniqKey="Tulsyan S" first="Suman" last="Tulsyan">Suman Tulsyan</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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