Paraffinomas of the facial area: treatment with systemic and intralesional steroids

We present a case of a 32-year-old male patient with a history HIV infection, who administered vitamin E and almond oil into the malar region and chin. On histology the main pathological finding was a foreign body granulomatous reaction. The patient was treated with 20-mg prednisone and intralesional triamcinalone. After three more treatments the erythema and edema decreased with resolving post-inflammatory hyperpigmentation. We conclude that the use of oral and intralesional steroids are effective treatments in foreign body reactions.