CLINICAL CASES   

Giornale Italiano di Dermatologia e Venereologia 2001 June;136(3):227-30

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: Italian

A case of granulomatous rosacea

Rubegni P., Sbano P., De Aloe G., Marano M. R., Fimiani M.

Università degli Studi - Siena Istituto di Scienze Dermatologiche

A case of papulo-nodular form of granulomatous acne rosacea occurred after topical steroids therapy is described. This unusual cutaneous disorder is characterized by painless eruption of reddish to yellowish brown, occasionally ulcerative papules symmetrically distributed on the face. Histopathologically, these lesions display caseating and non-caseating dermal granulomas that mimic those seen in tubercolosis, tubercoloid leprosy, sarcoidosis and other diseases. The disorder responds well to systemic tetracycline therapy. On the basis of similar morphologic and histologic features and analogous response to the same therapy, granulomatous rosacea should be considered part of the spectrum of acne rosacea.