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Lupus miliaris disseminatus faciei
*Corresponding author: Dr. Molisha Bhandari, Department of Dermatology and STD, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. molishabhandari2905@gmail.com
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Received: ,
Accepted: ,
How to cite this article: Bhandari M, Sharma S, Sharma V. Lupus miliaris disseminatus faciei. CosmoDerma 2023;3:103.
A 36-year-old male presented to the outpatient department with asymptomatic red colored lesions on the face and neck for the past 30 days. Examination revealed multiple erythematous papules, nodules, and plaques involving the forehead, upper eyelids, bilateral cheeks and ears, and extending onto the neck. The patient had been treated with oral isotretinoin 20 mg/day for 3 months with no relief [Figure 1a and b]. Histopathology of skin biopsy specimen showed acanthotic epidermis, while dermis showed confluent epithelioid cell granulomas with mild chronic inflammation, and an area of necrosis in the center of the granulomas [Figure 2a and b]. Based on the clinical and histopathological features, a diagnosis of lupus miliaris disseminatus faciei was made.
- (a) Multiple erythematous papules, nodules, and plaques involving the forehead, upper eyelids, bilateral cheeks and ears, and extending onto the neck. (b) Multiple erythematous papules, nodules, and plaques involving the neck.
- (a) Photomicrograph shows acanthotic epidermis. Dermis shows confluent epithelioid cell granulomas with mild chronic inflammation (H&E; ×40). (b) Photomicrograph shows epithelioid cell granulomas in the upper dermis surrounding hair follicle (H&E; ×100).
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The authors certify that they have obtained all appropriate patient consent.
Conflicts of interest
There are no conflicts of interest.
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