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

Author:

Savoia Francesco1ORCID,Medri Matelda1,Stanganelli Ignazio12,Zago Silvia3,Domeniconi Lucia3,Melandri Davide45,Alaibac Mauro6,Tartaglia Jacopo6,Ciolfi Christian6,Sechi Andrea7

Affiliation:

1. Skin Cancer Unit IRCCS Istituto Romagnolo per Lo Studio Dei Tumori (IRST) “Dino Amadori” Meldola Italy

2. Dermatology Unit, Department of Clinical and Experimental Medicine University of Parma Parma Italy

3. Patologic Anatomy, AUSL Della Romagna Santa Maria Delle Croci Hospital Ravenna Italy

4. Dermatology Unit Bufalini Hospital Cesena Italy

5. Dermatology Unit, IRCCS Azienda Ospedaliero‐Universitaria di Bologna, Department of Medical and Surgical Sciences Alma Mater Studiorum University of Bologna Bologna Italy

6. Dermatology Unit, Department of Medicine (DIMED) University of Padua Padova Italy

7. Dermatology Unit San Bortolo Hospital Vicenza Italy

Abstract

AbstractDermoscopy can be an important help for the diagnosis of skin cancers and inflammatory cutaneous diseases. The list of the dermoscopic features reported in granuloma faciale is wide and includes vascular and non‐vascular features. We report here three cases of diffuse flat facial and extrafacial granuloma faciale that exhibited elongated linear vessels simulating branching vessels and diffuse structureless orange areas. The differential diagnosis between flat‐type granuloma faciale, basal cell carcinoma and cutaneous sarcoidosis can be extremely difficult, making histology mandatory before any treatment.

Publisher

Wiley

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