Abstract
To the Editor.— review article entitled The Argon Laser for Cutaneous Lesions by Apfelburg et al (1981;245:2073) was most timely. However, one might question the practicality of treating seborrheic keratoses with the argon laser. After all, these stuck-on nevoid excrescences are typically amenable to superficial curettage. Moreover, the authors' description of granuloma faciale as a dermal inflammatory fibrosis is incorrect. Clinically, this lesion appears as an enlarging, brownish-red plaque of the face that may occasionally manifest follicular dilation. histopathological pattern is characteristic. 1 Salient features include the presence of a Grenz zone, polymorphous inflammatory infiltrate consisting of histiocytes, lymphocytes, plasma cells, and eosinophils with evidence of leukocytoclasia, and connective tissue trabeculations adjacent to the dermal blood vessels. Therefore, granuloma faciale is a type of leukocytoclastic vasculitis and quite the antithesis of a nonspecific dermatopathic entity.
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