A Case Report of Granuloma Faciale of the Scalp Arising in the Setting of Advanced Androgenetic Alopecia With a Review of Extrafacial Granuloma Faciale Occurring on the Scalp

Main Article Content

Grace Alchemy
Medical College of Wisconsin
https://orcid.org/0000-0002-2173-8878
Laura Westerling
Department of Dermatopathology, Kaiser Permanente,

Keywords

extrafacial granuloma faciale, androgenic alopecia

References

1. Thiyanaratnam J, Doherty SD, Krishnan B, Hsu S. Granuloma faciale: Case report and review. Dermatol Online J. 2009;15(12). doi:10.5070/D355848902

2. Rossiello L, Palla M, Aiello FS, Baroni A, Satriano RA. Granuloma Faciale With Extrafacial Lesions. Ski Dermatol Clin. 2007;6(3):150-151. doi:10.1111/j.1540- 9740.2007.05809.x

3. Deen J, Moloney TP, Muir J. Extrafacial Granuloma Faciale: A Case Report and Brief Review. Case Rep Dermatol. 2017;9(2):79-85. doi:10.1159/000477960

4. Al Dhafiri M, Kaliyadan F. Granuloma Faciale. In: StatPearls. StatPearls Publishing; 2024. Accessed November 8, 2024. http://www.ncbi.nlm.nih.gov/books/NBK539832/

5. Ortonne N, Wechsler J, Bagot M, Grosshans E, Cribier B. Granuloma faciale: A clinicopathologic study of 66 patients. J Am Acad Dermatol. 2005;53(6):1002-1009. doi:10.1016/j.jaad.2005.08.021

6. PEDACE FJ, PERRY HO. Granuloma Faciale: A Clinical and Histopathologic Review. Arch Dermatol. 1966;94(4):387-395. doi:10.1001/archderm.1966.01600280005001

7. Frost FA, Heenan PJ. Facial Granuloma. Australas J Dermatol. 1984;25(3):121-124. doi:10.1111/j.1440-0960.1984.tb00828.x

8. Burgdorf WHC. Granuloma Faciale. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB, Editors. Fitzpatrick’s Dermatology in General Medicine. 5th Ed. New York: McGraw-Hill; 1999. p. 1138-40.

9. Barnadas MA, Curell R, Alomar A. Direct immunofluorescence in granuloma faciale: a case report and review of literature. J Cutan Pathol. 2006;33(7):508-511. doi:10.1111/j.1600-0560.2006.00451.x

10. Kavanagh GM, McLaren KM, Hunter JA. Extensive extrafacial granuloma faciale of the scalp. Br J Dermatol. 1996;134:595-596.

11. Marcoval J, Moreno A, Peyrí J. Granuloma faciale: a clinicopathological study of 11 cases. J Am Acad Dermatol. 2004;51:269-273.

12. Sewell L, Elston D. Extrafacial granuloma faciale successfully treated with 595-nm pulse dye laser. J Am Acad Dermatol. 2008;58(suppl 2).

13. Mookadam M, Mesinkovska N, Bridges AG. Evaluating the clinical and demographic features of extrafacial granuloma faciale. Cutis. 2017 Jul;100(1).

14. Loi C, Abbenante D, Misciali C, Savoia F. Extrafacial granuloma faciale presenting as an annular plaque of the scalp. Int J Dermatol. 2022 Apr;61(4):e144-e146.

15. Savoia F, Medri M, Stanganelli I, et al. Elongated linear vessels simulating branching vessels and diffuse structureless
orange areas as prominent dermoscopic features of diffuse flat facial and extrafacial granuloma faciale: A case series.
Australas J Dermatol. 2024 Aug;65(5):467-471. doi:10.1111/ajd.14298. Epub 2024 May 5.

16. Finnegan P, O'Connor C, Mhaolcatha SN, et al. A case series of extrafacial granuloma faciale. Indian J Dermatol. 2024
Mar-Apr;69(2):203.

17. Ziemer M, Koehler MJ, Weyers W. Erythema elevatum diutinum – a chronic leukocytoclastic vasculitis
microscopically indistinguishable from granuloma faciale? J Cutan Pathol. 2011;38(11):876-883. doi:10.1111/j.1600-0560.2011.01760.x

18. Lindhaus C, Elsner P. Granuloma Faciale Treatment: A Systematic Review. Acta Derm Venereol. 2018;98(1):14-18. doi:10.2340/00015555-2784

19. Leite I, Moreira A, Guedes R, Furtado A, Ferreira EO, Baptista A. Granuloma faciale of the scalp. Dermatol Online J. 2011;17(4). doi:10.5070/D35f93j33t

20. Liu L, He Y, Chang J. A Case of Granuloma Faciale Successfully Treated with Minocycline. Clin Cosmet Investig Dermatol. 2023;16:2337-2339. doi:10.2147/CCID.S425239

Article Sidebar

PDF
Published
2025-11-10
DOI: https://doi.org/10.25251/6fanky35

Article Details

How to Cite
1.
A Case Report of Granuloma Faciale of the Scalp Arising in the Setting of Advanced Androgenetic Alopecia With a Review of Extrafacial Granuloma Faciale Occurring on the Scalp. J of Skin. 2025;9(6):s655. doi:10.25251/6fanky35
Issue
Vol. 9 No. 6 (2025): November 2025 Issue
Section
Alopecia
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

All authors retain copyright in their articles. All articles published open access allowing for immediate free access to the work and permitting any user to read, download, copy, distribute, print, search, or link to the full texts of articles, crawl them for indexing, pass them as data to software or use them for any other lawful purpose. Permitted reuse is defined by  the following user license:
 

Creative Commons Attribution (CC BY): lets others distribute and copy the article, to create extracts, abstracts, and other revised versions, adaptations or derivative works of or from an article (such as a translation), to include in a collective work (such as an anthology), to text or data mine the article, even for commercial purposes, as long as they credit the author(s), do not represent the author as endorsing their adaptation of the article, and do not modify the article in such a way as to damage the author's honor or reputation. 

Authors retain copyright in their work and license the publisher to publish the content. The publisher is the National Society for Cutaneous Medicine, with production and publishing support provided by OJS, Open Journal Systems,see https://pkp.sfu.ca/ojs/.

Prior to January 2022, authors transferred copyright to the National Society for Cutaneous Medicine. However, all articles are freely available to anyone in the world. There are no subscription fees, page charges, or article processing charges.

Author Biography

Laura Westerling, Department of Dermatopathology, Kaiser Permanente,

Physician, Department of Dermatopathology, Kaiser Permanente,