Orofacial granulomatosis in a 12 ‐year‐old girl successfully treated with intravenous pulse corticosteroid therapy and chloroquine

We report the case of a 12‐year‐old girl with asymptomatic erythematous infiltration of her upper lip, cheeks, and chin that had persisted for more than 2 years; biopsy confirmed granuloma formation. Because a large area was affected, intralesional corticosteroids were inappropriate and six cycles of 3‐day intravenous pulse corticosteroid therapy (dexamethasone 1.5mg/kg), repeated once after 4 weeks, was given. Our patient also received oral chloroquine and topical emollients. At the end of the sixth pulse cycle, the infiltration had completely resolved, leaving slight residual erythema.

Source: Pediatric Dermatology - September 21, 2017 Category: Dermatology Authors: Jovan Lalosevic, Mirjana Gajic ‐Veljic, Milos Nikolic Tags: CASE REPORT Source Type: research