[Brownish plaques on both sides of the nose].
Granuloma fissuratum (Gf) is painful granular tissue caused by constant pressure exerted by glasses. The differential diagnosis includes further granulomatous dermatoses such as cutaneous sarcoidosis, mycobacterioses and autoimmune diseases. It is also important to rule out a basal cell carcinoma. The simplest and most effective treatment of Gf is to correct the glasses frame or, even better, to avoid wearing glasses to correct eyesight. Topical antiseptic/antibiotic treatment is recommended for superinfected lesions. The Gf usually heals within 1-6 months after correction of the glasses. If the lesion does not heal on its own, complete excision is recommended.
Sohl
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S
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Leipzig AöR, Philipp-Rosenthal-Strasse 23-25, 04103, Leipzig. sirius.sohl@medizin.uni-leipzig.de
Treudler
R
R
Gebhardt
C
C
Harth
W
W
Helbig
D
D
Simon
J C
JC
D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000175:diagnosis*; D005260:Female; D006099:Granuloma / Q000175:diagnosis*; D006103:Granuloma, Lethal Midline / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged