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Vol. 109. Num. 7.September 2018
Pages e1-e10Pages 577-666
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Vol. 109. Num. 7.September 2018
Pages e1-e10Pages 577-666
e-Casos clínicos
DOI: 10.1016/j.adengl.2018.06.008
Idiopathic Facial Aseptic Granuloma: Clinical and Ultrasound Findings in 3 Cases
Granuloma aséptico facial idiopático: hallazgos clínicos y ecográficos de 3 casos
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A.I. Rodríguez-Bandera
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anarb85@gmail.com

Corresponding author.
, M. Feito-Rodríguez, R. Maseda-Pedrero, R. de Lucas-Laguna
Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España
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Table 1. Ultrasound Features and Differential Diagnosis of Idiopathic Facial Aseptic Granuloma.
Abstract

Idiopathic facial aseptic granuloma is a typical childhood disease characterized by the presence of one or more asymptomatic nodules on the cheek. Although pathogenesis remains unclear, the disease is thought to be a type of childhood rosacea. It resolves spontaneously, yet it could be confused with other lesions that require treatment.

We present clinical and ultrasound findings and outcomes from 3 new cases. In 2 cases, the lesion presented as childhood rosacea. Ultrasound revealed a characteristic pattern, with variations depending on the stage of development.

High-frequency ultrasound can facilitate the differential diagnosis and thus obviate unnecessary biopsy or excision.

Keywords:
Idiopathic facial aseptic granuloma
Rosacea
Ultrasound
Doppler
Resumen

El granuloma aséptico facial idiopático es una entidad propia de la infancia que se caracteriza por la presencia de uno o varios nódulos asintomáticos en la mejilla. Aunque su patogenia no está clara, se ha sugerido que pueda pertenecer al espectro de la rosácea infantil. Resuelve espontáneamente pero puede plantear dudas diagnósticas con otras lesiones que sí requieren tratamiento.

Presentamos los hallazgos clínicos y ecográficos y la evolución, tanto clínica y ecográfica, de 3 nuevos casos. En 2 pacientes, la lesión se presentó en el contexto de una rosácea infantil. En ecografía, el granuloma aséptico facial idiopático mostró un patrón característico, con variaciones en función del momento evolutivo.

La ecografía de alta frecuencia puede facilitar el diagnóstico diferencial, evitando biopsias o extirpaciones innecesarias.

Palabras clave:
Granuloma aséptico facial idiopático
Rosácea
Ecografía
Doppler

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