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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X


ZAMBRANO CENTENO, Luz Belén; GOMEZ GONZALEZ, Carlos; ROJO LOPEZ, Mercedes  and  ALONSO PACHECO, María Luisa. Idiopathic facial aseptic granuloma. Rev Clin Med Fam [online]. 2014, vol.7, n.3, pp.238-240. ISSN 2386-8201.

The idiopathic facial aseptic granuloma (IFAG) is a cutaneous condition characteristic in the pediatric age which is characterized by an acquired inflammatory painless nodule of long-term evolution in the facial skin and presents no local heat. It usually appears on the cheeks, in the triangle formed by the external angle of the eye, the earlobe and the labial commissure. Several hypothesis have been postulated on its etiology: its appearance could be related to a slight injury or an insect bite or could be an embryological remnant. The most widely accepted hypothesis is that it could be a particular manifestation of rosacea in infants. Although only 45 cases have been reported in the literature, some authors point out that it could be a little known process and not so uncommon in the pediatric age. It is also considered that its clinical characteristic aspect, localization and evolution could be sufficient for correct diagnosis, thus avoiding invasive diagnostic interventions and aggressive therapies in such a sensitive age to pain and with the possibility to leave scars in the child's face. The present is a new case of IFAG handled in a conservative way after diagnosis based on its evolutional and clinical manifestations.

Keywords : Granuloma; Rosacea; Primary Health Care.

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