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Granulomatous Rosacea

Granulomatous Rosacea Abstract Granulomatous papular rosacea may be found on both medial and lateral facial areas and it may appear on diascopy as yellow-brown nodules and on histologic examination as noncaseating epithelioid cell granulomas which may resemble sarcoidosis, tuberculosis, or other granulomatous diseases. Patients presenting these features should not be considered to have tuberculids, and antituberculous therapy is not indicated unless, of course, an active site of tuberculosis is actually identified. Beneficial results have been obtained in these cases with Danish ointment (betanaphthol, sublimed sulfur, Peruvian balsam, and petrolatum) along with or without the topical use of steroids or systemic use of tetracycline or both. References 1. Lewandowsky, F.: Ueber rosaceaähnliche Tuberkulide des Gesichtes , Cor-Bl Schweiz Aerzte 47:1280-1282, 1917. 2. Laymon, C.W., and Michelson, H.E.: The Micropapular Tuberculid , Arch Derm 42:625-640 ( (Oct) ) 1940.Crossref 3. Snapp, R.H.: Lewandowsky's Rosacea-like Eruption: A Clinical Study , J Invest Derm 13:175-189 ( (Oct) ) 1949.Crossref 4. Van Ketel, W.G.: Rosacea-like Tuberculid of Lewandowsky , Dermatologica 116:201-210, 1958.Crossref 5. Michelson, H.E.: Does the Rosacea-like Tuberculid Exist? Arch Derm 78:681-688 ( (Dec) ) 1958.Crossref 6. Cornbleet, T., and Chaudhry, K.: Rosacea or Rosacea-like Tuberculid Responding to Antitubercular Treatment , Arch Derm 94:239-240 ( (Aug) ) 1966.Crossref 7. Zimmerman, M.C.: Lupus Miliaris Disseminata Faciei vs. Papular Rosacea , Arch Derm 96:597-598 ( (Nov) ) 1967.Crossref 8. Lever, W.F.: Histopathology of the Skin , ed 4, Philadelphia: J.B. Lippincott Co., 1967, p 191. 9. Laymon, C.W., and Schoch, E.P., Jr.: Micro-papular Tuberculid and Rosacea: A Clinical and Histologic Comparison , Arch Derm 58:286-298 ( (Sept) ) 1948.Crossref 10. Ayres, S., Jr., and Mihan, R.: Rosacea-like Demodicidosis Involving the Eyelids: A Case Report , Arch Derm 95:63-66 ( (Jan) ) 1967.Crossref 11. Marks, R., and Jones, E.W.: Disseminated Rosacea , Brit J Derm 81:16-28 ( (Jan) ) 1969.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1970.04000020076011
Publisher site
See Article on Publisher Site

Abstract

Abstract Granulomatous papular rosacea may be found on both medial and lateral facial areas and it may appear on diascopy as yellow-brown nodules and on histologic examination as noncaseating epithelioid cell granulomas which may resemble sarcoidosis, tuberculosis, or other granulomatous diseases. Patients presenting these features should not be considered to have tuberculids, and antituberculous therapy is not indicated unless, of course, an active site of tuberculosis is actually identified. Beneficial results have been obtained in these cases with Danish ointment (betanaphthol, sublimed sulfur, Peruvian balsam, and petrolatum) along with or without the topical use of steroids or systemic use of tetracycline or both. References 1. Lewandowsky, F.: Ueber rosaceaähnliche Tuberkulide des Gesichtes , Cor-Bl Schweiz Aerzte 47:1280-1282, 1917. 2. Laymon, C.W., and Michelson, H.E.: The Micropapular Tuberculid , Arch Derm 42:625-640 ( (Oct) ) 1940.Crossref 3. Snapp, R.H.: Lewandowsky's Rosacea-like Eruption: A Clinical Study , J Invest Derm 13:175-189 ( (Oct) ) 1949.Crossref 4. Van Ketel, W.G.: Rosacea-like Tuberculid of Lewandowsky , Dermatologica 116:201-210, 1958.Crossref 5. Michelson, H.E.: Does the Rosacea-like Tuberculid Exist? Arch Derm 78:681-688 ( (Dec) ) 1958.Crossref 6. Cornbleet, T., and Chaudhry, K.: Rosacea or Rosacea-like Tuberculid Responding to Antitubercular Treatment , Arch Derm 94:239-240 ( (Aug) ) 1966.Crossref 7. Zimmerman, M.C.: Lupus Miliaris Disseminata Faciei vs. Papular Rosacea , Arch Derm 96:597-598 ( (Nov) ) 1967.Crossref 8. Lever, W.F.: Histopathology of the Skin , ed 4, Philadelphia: J.B. Lippincott Co., 1967, p 191. 9. Laymon, C.W., and Schoch, E.P., Jr.: Micro-papular Tuberculid and Rosacea: A Clinical and Histologic Comparison , Arch Derm 58:286-298 ( (Sept) ) 1948.Crossref 10. Ayres, S., Jr., and Mihan, R.: Rosacea-like Demodicidosis Involving the Eyelids: A Case Report , Arch Derm 95:63-66 ( (Jan) ) 1967.Crossref 11. Marks, R., and Jones, E.W.: Disseminated Rosacea , Brit J Derm 81:16-28 ( (Jan) ) 1969.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Feb 1, 1970

References