Dermoscopy of Granuloma Faciale: Two Case Report

Abstract

Granuloma faciale is a rare, benign, idiopathic skin disorder, observed predominantly in caucasian men between the third and fifth decades of life. It is characterized histologically by a mixed inflammatory infiltrate, in which phenomena of vasculitis and fibrosis are associated. It occurs predominantly in the face and has a chronic and slowly progressive course. Its diagnosis is based on clinical and histopathological features, with a recent emphasis on dermoscopy, which reveals aspects that may allow initial differentiation from other diagnoses (sarcoidosis, cutaneous lupus erythematosus, basal cell carcinoma, among others). There are several therapeutic options but with unsatisfactory results. In this article, we report two cases of patients with facial erythematous lesions in which dermoscopy was of great value as a diagnostic tool. Use of this technique will certainly grow in the coming years in relation to this pathology, since, besides providing important disease characteristics it represents a simple and easy way to identify facial granuloma.