Papulosquamous disorders: granuloma faciale: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · Papulosquamous disorders: granuloma faciale

Sample item

A 50-year-old man has an asymptomatic, well-demarcated, brownish-red plaque on the cheek with prominent follicular openings. Biopsy shows a dense infiltrate with many eosinophils, a clear Grenz zone and leukocytoclastic vasculitis. What is the diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Granuloma faciale

Granuloma faciale is a localised leukocytoclastic vasculitis of the face with a mixed infiltrate rich in eosinophils and a Grenz zone. It is chronic, treated with topical or intralesional agents and often recurs.

Option by option

  • A. Discoid lupus erythematosus

    Discoid lupus shows scarring, follicular plugging and an interface dermatitis.

  • B. Granuloma faciale (correct)

    Correct. A facial plaque with eosinophils and a Grenz zone is granuloma faciale.

  • C. Lupus pernio

    Lupus pernio is a violaceous sarcoid plaque of the nose and cheeks with non-caseating granulomas.

  • D. Lupus vulgaris

    Lupus vulgaris shows apple-jelly nodules and tuberculoid granulomas with caseation.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Dermatology questions

Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is B, Granuloma faciale. Granuloma faciale is a localised leukocytoclastic vasculitis of the face with a mixed infiltrate rich in eosinophils and a Grenz zone.

Why is "Discoid lupus erythematosus" not the answer?

Discoid lupus shows scarring, follicular plugging and an interface dermatitis.

Why is "Lupus pernio" not the answer?

Lupus pernio is a violaceous sarcoid plaque of the nose and cheeks with non-caseating granulomas.

Why is "Lupus vulgaris" not the answer?

Lupus vulgaris shows apple-jelly nodules and tuberculoid granulomas with caseation.

What concept does this question test?

It tests Papulosquamous disorders: granuloma faciale in Dermatology. It is chronic, treated with topical or intralesional agents and often recurs.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Papulosquamous disorders: granuloma faciale?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.