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Updated: Oct 11, 2025

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
Granulomatous Facial Dermatoses
Victor A Teran1, Katherine G Belote1, Thomas G Cropley1
1Dr. Teran is from the Department of Dermatology, The University of Texas Medical Branch, Galveston. Drs. Belote, Cropley, Gru, and Zlotoff are from the Department of Dermatology, University of Virginia Health System, Charlottesville. Dr. Gru also is from the Department of Pathology.
Abstract:
Noninfectious facial papular granulomas can be the presentation of several conditions, including granulomatous periorificial dermatitis, granulomatous rosacea, lupus miliaris disseminatus faciei, and papular sarcoidosis. Although these entities are treated distinctly from one another, they share several clinical and histological characteristics. We present 2 cases of facial papular granuloma: one patient presented with granulomatous rosacea, and the other had a presentation consistent with sarcoidosis but also demonstrated features of granulomatous periorificial dermatitis and had a protracted course of treatment. Such cases exemplify heterogeneity in the evaluation and management of this cutaneous lesion and highlight the necessity of appreciating its various potential causes.
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