Science Letters

Lupus Miliaris Disseminatus Faciei: A Case Report

Afzaal Ahmed Bin Jameel, Bing Rong Zhou, Dan Luo*

Department of Dermatology, the First Affiliated Hospital of Nanjing Medical University, 300-Guang Zhou Road, 210029, Nanjing, Jiangsu, China

Abstract

Lupus miliaris disseminaturs faciei (LMDF) is an inflammatory disease with an unknown etiology. It is characterized by the presence of several dome shaped monomorphic papules in the centro-lateral facial areas. Diascopy of relatively larger lesions often reveals an apple jelly like nodular appearance. Based on the typical clinical manifestations (reddish yellow papules localized in the central and lateral areas of the face, especially the eyelids) and histopathological findings (giant epitheloid granuloma with varying caseating necrosis) a diagnosis of LMDF can be established. Herein, we would like to present a typical case of LMDF in a 43-year-old Chinese female with a brief insight on the clinical features. The patient had used before antibiotic creams without obvious improvement. Based on the clinical and histo-pathological findings, a diagnosis of LMDF was made and use of medicines was suggested.

Keywords Acnitis, acne agminata, facial idiopathic granulomas, lupus miliaris.

Received March 17, 2016 Accepted May 29, 2016 Abstract Published June 30, 2016 Manuscript Published August 15, 2016

*Corresponding author Dan Luo E-mail daniluo2005@163.com Tel +86-25-86796545