Big Nasal Granuloma Faciale, Presentation, and Management: A Case Study

Abstract

Introduction: Granuloma faciale (GF) is a rare benign cutaneous vasculitis that manifests as plaques or papules on exposed areas of the face. Infiltration of inflammation in the superficial layers of the skin is typical and predisposes the skin to medical treatment. The majority of previous studies have focused on case reports and their definitions. Case Presentation: Due to resistance to traditional therapies, a 52-year-old woman was consulted for a large growing nasal dorsum lesion. She had received all the available medical treatments, such as corticosteroid injections, PDL, Rituximab, and fractional CO2 laser, which failed. Her defect was reconstructed with partial thickness skin grafts following wide local excision. Conclusions: Granuloma faciale is a rare vasculitis in the face that requires medical therapies, although in rare cases may need excisional surgery to be cured.