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Case Reports
. 2023 Jul 26;3(5):e272.
doi: 10.1002/ski2.272. eCollection 2023 Oct.

Ring-shaped plaque on the face

Stella Riemann  1 , Ewan A Langan  1   2 , Patrick Terheyden  1 , Katharina Boch  1
Affiliations
Case Reports

Ring-shaped plaque on the face

Stella Riemann et al. Skin Health Dis. .

Abstract

Granulomatosis Miescher is a very rare, chronic, granulomatous (non-necrobiotic) disease. Clinical characteristics are a slowly centrifugally growing brownish plaques with partly yellowish parts and telangiectasias. Histology shows perivascular epithelioid cell granulomas with few giant cells and only isolated necrobiosis lesions.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Clinical and histological findings. (a) Ring‐shaped plaque with slightly elevated borders ridge with telangiectasias on the right cheek and upper lip. (b) Granulomatous inflammation pattern with no necrobiosis and a multinucleated giant cell reaction (H&E staining, 10x).
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References

    1. Mehregan AH, Altman J. Miescher's granuloma of the face. A variant of the necrobiosis lipoidica‐granuloma annulare spectrum. Arch Dermatol. 1973;107(1):62–64. 10.1001/archderm.107.1.62 - DOI - PubMed
    1. Tronnier M, Mitteldorf C. Histologic features of granulomatous skin diseases. Part 1: non‐infectious granulomatous disorders. J Dtsch Dermatol Ges. 2015;13(3):211–216. 10.1111/ddg.12610 - DOI - PubMed

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