case_images: PMC11065485_01
case_images: Patient face with edema all over the application areas, granulomas on the sides of the face are present showing a square heavy face.
case_images: CRIDM2024-6544506.001.jpg
case_images: PMC11065485_01_CRIDM2024-6544506.001.jpg
case_images: fig1
case_images: Ultrasound performed with a 24 MHz high-frequency linear transducer, high-resolution Doppler; (a, b), respectively.
case_images: CRIDM2024-6544506.002.jpg
case_images: PMC11065485_01_CRIDM2024-6544506.002.jpg
case_images: fig2
case_images: The ultrasound reports the presence of hyper refringent material with defined edges at the subcutaneous cellular plane located in the malar and lower mandibular region on both sides where PDLLA was applied (Figure 2).
case_images: Palpation of the granulomas on the sides of the face, on the palpation it felt stone like firmness on 2 gigantic granulomas with the size of 8 cm x 4 cm approximately, (a, b), respectively.
case_images: CRIDM2024-6544506.003.jpg
case_images: PMC11065485_01_CRIDM2024-6544506.003.jpg
case_images: fig3
case_images: Edema was present all over the application of PDLLA area and she described itchiness all over the face (Figure 3).
case_images: Granuloma was completely solved after the application of intralesional triamcinolone every 15 days, a total of 4 applications were needed.
case_images: CRIDM2024-6544506.004.jpg
case_images: PMC11065485_01_CRIDM2024-6544506.004.jpg
case_images: fig4