Granuloma Scleroma

**Scleromatous granuloma (granuloma scleromatosum) is an epithelioid cell tumor of the central nervous system, prone to infiltrative growth and early giving rise to peripheral lesions. Damage to the sclera from a tubercle on the cornea and a more common form on the second and third eyelids of the lower half of the face, on the skin of the forehead in the form of hemispherical infiltrates.*

**Differential diagnosis**

*The closest impression to scleroma granuloma is produced by the following types of tumors: neurofibroma, reticulosarcoma, Bergmann tumor and facial neuroma. Neurofibroma is a benign tumor of neurogenic tissue and is the most common; it is represented by a collection of small arachnid and thread-like branches (sprouts). Reticulosarcomatous tumor develops from reticulolymphatic cells of connective tissue. Bergmann's tumor is a slow-growing tumor that develops from the lymphatic tissue of the orbit; there is usually no headache. Neuroma is a spindle-shaped or sausage-shaped protrusion of the hard brain