Tender erythematous papule on the face

Abstract

A 36 year old male visited our dermatological outpatient department (OPD) with a chief complaint of a raised reddish skin lesion on the left side of the face for the last one month. There is history of local discomfort associated with the lesion. The patient denied any history of trauma at the affected site. On physical examination, there was an erythematous papule around 1 cm in diameter present on the left side of the face 2-3 cm below the left lower eyelid (Fig. 1). It was firm in consistency and exquisitely tender. The summit of the papule was relatively harder and was the site of maximum tenderness. After manipulating the lesion in the minor operation theatre, a glass fragment of the size 9-10 mm × 2-3 mm was removed from the lesion (Figs 2A-B, and 3). A diagnosis of foreign body reaction to the glass was made. The affected skin at the lesional site was irrigated with normal saline. The patient was prescribed topical fluticasone plus mupirocin ointment