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Images/Instrument in Dermatology/Dermatosurgery
2023
:3;
103
doi:
10.25259/CSDM_103_2023

Lupus miliaris disseminatus faciei

Department of Dermatology and STD, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
Department of Health Research, National Institute of Pathology, ICMR, Ministry of Health and Family Welfare, Government of India, New Delhi, India
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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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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.
Figure 1:
(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).
Figure 2:
(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).

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Financial support and sponsorship

Nil.


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