Granulosis rubra nasi is a rare condition characterised by hyperhidrosis of the nose. Granulosis Rubra Nasi (GRN) is a rare disorder of the eccrine glands. It is clinically characterized by hyperhidrosis of the central part of the face. Granulosis rubra nasi is a rare familial disease of children, occurring on the nose, cheeks, and chin, characterized by diffuse redness, persistent excessive.

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Case Reports in Dermatological Medicine

It used to get worse in summer and was associated with localized hyperhidrosis. It usually presents in childhood between 6 months and 15 years of age.

Lupus pernio or chilblain granulois presents with dusky papules and plaques on the nose, toes, and fingers. The clinical picture is very distinctive and rarely there is a problem with the diagnosis. We hope this case report will prompt other authors to use and document the response of tacrolimus in various stages of GRN. We here report a case of GRN having lesions persisting in adulthood.

Histopathology shows a mild mononuclear cell infiltrate around the sweat ducts, blood vessels, and lymphatics. The patient was reassured taking into consideration the benign nature of the disease. Systemic corticosteroids help by reducing the inflammatory infiltrate around sweat glands.

Presence of significant increase in sweating on the nose and central face appears to be responsible for the secondary changes like erythema and erythematous papules [ 9 ].

Granulosis rubra nasi | Primary Care Dermatology Society | UK

No preventive measures nxsi complications are reported and the disease has an excellent prognosis with self resolution at puberty in most cases. Granulosis rubra nasi is a rare disorder of the eccrine glands first described by Jadassohn in Clinically, we made a diagnosis of Granulosis Rubra Nasi, Lymphangioma Circumscriptum, Nevus Rkbra, and sebaceous gland hyperplasia.


Proc R Soc Med. Excessive sweating may precede other changes by several years. Histology shows dilation of dermal blood vessels and lymphatics with perivascular lymphocytic infiltration and dilation of sweat ducts.

Granulosis rubra nasi

The pathogenesis is unknown. D ICD – This is a case report of a year-old male patient who presented with excessive sweating over the nose. On follow up after three weeks, size of the vesicles had decreased and patient stated no increase in size of the vesicles, even on sun exposure. Similar infiltration around sweat ducts too was noticed Figure 2 C. The differential diagnosis includes rosacea and perioral dermatitis. Two cases runra granulosis rubra nasi in boys.

There were no other mucocutaneous or systemic features.

It is described as a focal form of hyperhidrosis which differs from the other forms, as it does not depend on the hypothalamic or emotional stimuli [ 3 ]. Discussion GRN is an inflammatory condition involving eccrine sweat glands of nose, cheeks and chin.

Abstract A 20 years-old girl presented with multiple asymptomatic reddish vesicles on face for four years. The cause is unknown In some cases there is evidence of autosomal dominant transmission.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. Topical tacrolimus has been used in low dose, 0. This condition of the skin appendages article is a stub.


Granulosis rubra nasi: a rare condition treated successfully with topical tacrolimus

Saunders Elsevier publications; Eccrine hidrocystoma also shows dilatation of sweat glands with solitary or multiple cysts lined by a double layer of cuboidal cells on histology, but dilatation of dermal vessels and perivascular mononuclear infiltrate is not seen [ 410 ].

Diseases of the skin appandages. Some authors have suggested a defect ruba vasomotor and secretory functions of the nose. It is clinically characterized by hyperhidrosis of the central part of the face, most commonly on the tip of the nose, followed by nas of diffuse erythema over the nose, cheeks, chin, and upper lip.

Retrieved from ” https: The infundibular and sebaceous ducts are plugged with stratum corneum and villous hair follicles. The epidermis, connective tissue and pilosebaceous apparatus are otherwise normal and no heterotopic apocrine glands are found.

In next 1—2 years, she developed small erythematous lesions, which expressed clear and sometimes, granlosis fluid on excoriation, on the central face.

Multiple translucent papules on the face of a middle-aged woman. Dermis shows villous hair follicle with sebaceous gland hyperplasia with peri-infundibular infiltrate of lymphocytes and plasma cells with dilated capillaries and extravasation of hemosiderin.

A rubrx male patient presented with asymptomatic lesion over nose since 2 years to the outpatient department of dermatology and leprosy.