Unusual facial granulomas occurring in a child. Report of a case.

Abstract

This report describes the occurrence of distinctly unusual skin lesions in a young patient. Although the histopathologic appearance resembled tuberculosis and other granulomatous entities, the manifestations could not be ascribed to any of the known diagnostic possibilities. The disparity between the benign, limited clinical course and the serious systemic implications of the pathological findings was of considerable interest. Report of a Case The patient, a white female born in August, 1957, was seen first in August, 1959, because of 3 pigmented facial lesions of 4 months' duration. In April, 1959, at the angle of the left jaw, a soft nontender swelling was noted. This was thought to be mumps, was not treated, and abated within 2 weeks, spontaneously. However, at this time 3 slightly raised, 2 cm. flesh-colored lesions developed in the same area and during the next few months became more deeply pigmented. The size of the lesions remained