Lead pencils, whose cores are composed mainly of graphite, clay and various waxes, are still commonly used. Pencil-tip injuries are also common, especially among school-age children. A granulomatous reaction against pencil lead is rare, but nine cases of pencil-core granuloma have been previously reported with only one case occurring on the face. Here we present two cases of pencil-core granuloma which developed on the face.
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