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Unusual Facial Granulomas Occurring in a Child: Report of a Case

Unusual Facial Granulomas Occurring in a Child: Report of a Case Abstract This report describes the occurrence of distinctly unusual skin lesions in a young patient. Although the histopathologic appearance resembled tuberculosis and other granulomatous entities, the manifestations could not be ascribed to any of the known diagnostic possibilities. The disparity between the benign, limited clinical course and the serious systemic implications of the pathological findings was of considerable interest. Report of a Case The patient, a white female born in August, 1957, was seen first in August, 1959, because of 3 pigmented facial lesions of 4 months' duration.In April, 1959, at the angle of the left jaw, a soft nontender swelling was noted. This was thought to be mumps, was not treated, and abated within 2 weeks, spontaneously. However, at this time 3 slightly raised, 2 cm. flesh-colored lesions developed in the same area and during the next few months became more deeply pigmented. The size of the lesions remained References 1. Allen, C.: The Skin , St. Louis, The C. V. Mosby Company, 1954, pp. 371-404; 474-492. 2. Pillsbury, M.; Shelly, W. B., and Kligman, A. M.: Dermatology , Philadelphia, W. B. Saunders Company, 1956, pp. 516-529; 949-953. 3. Linell, F., and Norden, A.: Mycobacterium Balnei , Acta Tuberc. Scand. , (Supp. 33) , pp. 1-84, 1954. 4. Tolmach, J. A., and Frank, S. B.: Granuloma of Skin with Tubercle Formation Following Swimming Pool Injury , J.A.M.A. 151::724-726 ( (Feb. 28) ) 1953.Crossref 5. McGovern, J. P., and Merritt, D. H.: Sarcoidosis in Childhood, in Advances in Pediatrics , edited by S. F. Levine, Chicago, The Year Book Publishers, Inc., 1956, Vol. 8, pp. 97-135. 6. Lewis, G. M.; Hopper, M. E.; Wilson, J. W., and Plunkett, O. A.: An Introduction to Medical Mycology , Ed. 4, Chicago, The Year Book Publishers, Inc., 1958. 7. Degos, R., and Civatte, J.: Silicon Granuloma of Skin , Hautzart 10:106-110 ( (March) ) 1959 8. Baer, R. L., and Witten, V. H.: Year Book of Dermatology, 1959-1960, pp. 120-122. 9. Epstein, E.: Silica Granuloma of Skin , A.M.A. Arch. Derm. 71:24-35 ( (Jan.) ) 1955.Crossref 10. Brandt, R., and Plotnick, H.: Multiple Cutaneous and Subcutaneous Sarcoid-Like Foreign-Body Granulomas , A.M.A. Arch. Derm. 74:128-130 ( (Aug.) ) 1956.Crossref 11. Potts, R. E.: Kaolin Granuloma , Brit. J. Surg. 41:295-299 ( (Nov.) ) 1956.Crossref 12. Rubin, L.; Slepyan, A. H.; Weber, L. F., and Nevhauser, I.: Granulomas of the Axillas Caused by Deodorants , J.A.M.A. 162:953-955 ( (Nov. 3) ) 1956.Crossref 13. Williams, R. M., and Skipworth, G. B.: Zirconium Granulomas of the Glabrous Skin Following Treatment of Rhus Dermatitis , A.M.A. Arch. Derm. 63:273-276 ( (Sept.) ) 1959.Crossref 14. Johnson, W. C.; Higdon, R. S., and Helwig, E. B.: Granuloma Faciale , A.M.A. Arch. Derm. 79:42-52 ( (Jan.) ) 1959.Crossref 15. Pinkus, H.: Granulomas with Eosinophilia, ("Eosinophilic Granulomas") , Med. Clin. N. Amer. 35:472-476 ( (March) ) 1951. 16. Lane, H. C., and Dodd, K.: Idiopathic Lethal Granuloma of the Nose and Face , Pediatrics 16:461-469 ( (Oct.) ) 1955. 17. Resnick, N., and Skerrett, P. V.: Lethal Midline Granuloma of the Face , A.M.A. Arch. Intern. Med. 103:116-122 ( (Jan.) ) 1959.Crossref 18. Levan, N. E.: Malignant Granuloma of the Face , A.M.A. Arch. Derm. Syph. 68:187-200 ( (Aug.) ) 1953.Crossref 19. Strauss, L.; Churg, J., and Zak, F. G.: Cutaneous Lesions of Allergic Granulomatosis , J. Invest. Derm. 17:349-359 ( (Dec.) ) 1951.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Unusual Facial Granulomas Occurring in a Child: Report of a Case

Archives of Dermatology , Volume 84 (2) – Aug 1, 1961

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Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1961.01580140087011
Publisher site
See Article on Publisher Site

Abstract

Abstract This report describes the occurrence of distinctly unusual skin lesions in a young patient. Although the histopathologic appearance resembled tuberculosis and other granulomatous entities, the manifestations could not be ascribed to any of the known diagnostic possibilities. The disparity between the benign, limited clinical course and the serious systemic implications of the pathological findings was of considerable interest. Report of a Case The patient, a white female born in August, 1957, was seen first in August, 1959, because of 3 pigmented facial lesions of 4 months' duration.In April, 1959, at the angle of the left jaw, a soft nontender swelling was noted. This was thought to be mumps, was not treated, and abated within 2 weeks, spontaneously. However, at this time 3 slightly raised, 2 cm. flesh-colored lesions developed in the same area and during the next few months became more deeply pigmented. The size of the lesions remained References 1. Allen, C.: The Skin , St. Louis, The C. V. Mosby Company, 1954, pp. 371-404; 474-492. 2. Pillsbury, M.; Shelly, W. B., and Kligman, A. M.: Dermatology , Philadelphia, W. B. Saunders Company, 1956, pp. 516-529; 949-953. 3. Linell, F., and Norden, A.: Mycobacterium Balnei , Acta Tuberc. Scand. , (Supp. 33) , pp. 1-84, 1954. 4. Tolmach, J. A., and Frank, S. B.: Granuloma of Skin with Tubercle Formation Following Swimming Pool Injury , J.A.M.A. 151::724-726 ( (Feb. 28) ) 1953.Crossref 5. McGovern, J. P., and Merritt, D. H.: Sarcoidosis in Childhood, in Advances in Pediatrics , edited by S. F. Levine, Chicago, The Year Book Publishers, Inc., 1956, Vol. 8, pp. 97-135. 6. Lewis, G. M.; Hopper, M. E.; Wilson, J. W., and Plunkett, O. A.: An Introduction to Medical Mycology , Ed. 4, Chicago, The Year Book Publishers, Inc., 1958. 7. Degos, R., and Civatte, J.: Silicon Granuloma of Skin , Hautzart 10:106-110 ( (March) ) 1959 8. Baer, R. L., and Witten, V. H.: Year Book of Dermatology, 1959-1960, pp. 120-122. 9. Epstein, E.: Silica Granuloma of Skin , A.M.A. Arch. Derm. 71:24-35 ( (Jan.) ) 1955.Crossref 10. Brandt, R., and Plotnick, H.: Multiple Cutaneous and Subcutaneous Sarcoid-Like Foreign-Body Granulomas , A.M.A. Arch. Derm. 74:128-130 ( (Aug.) ) 1956.Crossref 11. Potts, R. E.: Kaolin Granuloma , Brit. J. Surg. 41:295-299 ( (Nov.) ) 1956.Crossref 12. Rubin, L.; Slepyan, A. H.; Weber, L. F., and Nevhauser, I.: Granulomas of the Axillas Caused by Deodorants , J.A.M.A. 162:953-955 ( (Nov. 3) ) 1956.Crossref 13. Williams, R. M., and Skipworth, G. B.: Zirconium Granulomas of the Glabrous Skin Following Treatment of Rhus Dermatitis , A.M.A. Arch. Derm. 63:273-276 ( (Sept.) ) 1959.Crossref 14. Johnson, W. C.; Higdon, R. S., and Helwig, E. B.: Granuloma Faciale , A.M.A. Arch. Derm. 79:42-52 ( (Jan.) ) 1959.Crossref 15. Pinkus, H.: Granulomas with Eosinophilia, ("Eosinophilic Granulomas") , Med. Clin. N. Amer. 35:472-476 ( (March) ) 1951. 16. Lane, H. C., and Dodd, K.: Idiopathic Lethal Granuloma of the Nose and Face , Pediatrics 16:461-469 ( (Oct.) ) 1955. 17. Resnick, N., and Skerrett, P. V.: Lethal Midline Granuloma of the Face , A.M.A. Arch. Intern. Med. 103:116-122 ( (Jan.) ) 1959.Crossref 18. Levan, N. E.: Malignant Granuloma of the Face , A.M.A. Arch. Derm. Syph. 68:187-200 ( (Aug.) ) 1953.Crossref 19. Strauss, L.; Churg, J., and Zak, F. G.: Cutaneous Lesions of Allergic Granulomatosis , J. Invest. Derm. 17:349-359 ( (Dec.) ) 1951.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Aug 1, 1961

References