title: Idiopathic Facial Aseptic Granuloma: Review of an Evolving Clinical Entity.
abstract: Idiopathic facial aseptic granuloma (IFAG), originally termed pyodermite froide du visage, describes a generally asymptomatic facial nodule presenting in childhood with clinical resemblance to pyoderma or cystic, granulomatous, or vascular lesions. Clinical understanding is constantly evolving, with recent observations indicating that IFAG may represent a subtype of childhood rosacea. We present a case of IFAG associated with eyelid chalazions in a 19-month-old boy. Although his clinical course paralleled previously reported IFAG cases, we observed a unique ultrasound variation during initial diagnostic examination. Further delineation of clinical, imaging, and histologic properties of IFAG may reveal insights into etiologic associations and ideal management.
authors.affiliation: Department of Dermatology, University of Cincinnati, Cincinnati, Ohio.
authors.forename: Kristine B
authors.initials: KB
authors.lastname: Zitelli
authors.affiliation: Department of Pathology and Laboratory Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Amy T
authors.initials: AT
authors.lastname: Sheil
authors.affiliation: Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Robert
authors.initials: R
authors.lastname: Fleck
authors.affiliation: Division of Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Ann
authors.initials: A
authors.lastname: Schwentker
authors.affiliation: Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.|Division of Pediatric Dermatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Anne W
authors.initials: AW
authors.lastname: Lucky
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D001706:Biopsy; D017043:Chalazion / Q000175:diagnosis; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D006099:Granuloma / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007223:Infant; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D012393:Rosacea / Q000175:diagnosis; D012867:Skin / Q000473:pathology; D014463:Ultrasonography
chemical_list: D000890:Anti-Infective Agents; D008795:Metronidazole