case of granuloma faciale

A 60-year-old housewife reported with a raised red lesion on the left cheek since the last four months. Local examination revealed a well-defined erythematous indurated plaque 3x3 cm[2] with geographical borders on the left cheek close to the angle of mouth. Routine investigations were normal. Histopathology revealed loosely scattered granulomas in the dermis with lymphocytes, plasma cells, neutrophils and eosinophils. A disease free Grenz zone was seen. A diagnosis of granuloma faciale was made and the patient was put on intralesional steroid therapy. She continues to be on regular follow up