Lupus Miliaris Disseminatus Faciei- A Case Report and Literature Review
Journal Title: Saudi Journal of Pathology and Microbiology - Year 2018, Vol 3, Issue 7
Abstract
Abstract:Lupus Miliaris Disseminatus Faciei is an idiopathic granulomatous skin disease affecting the face. It is also called as Acne agminata or Facial idiopathic granulomas with regressive evolution. It has a predilection for lower eyelids, forehead, nasolabial folds and perioral areas. Caseating as well as non- caseating epithelioid cell granulomas are identified on histopathological examination therefore differentials such as tuberculosis, sarcoidosis, granulomatous rosacea and other granulomatous disorders should be ruled out. A thirteen year old female presented with multiple papules perinasally and periorally around chin. A skin biopsy was performed from the lesion and sent for histopathological examination. On microscopic examination, a granulomatous reaction pattern was seen in the dermis. X-ray chest was unremarkable. Mantoux test was negative. Apple- jelly nodule like appearance was observed on diascopy. A diagnosis of LMDF was rendered on histopathology after clinical correlation. The diagnosis of LMDF should be kept in mind in case of papular eruptions on face not responding to antitubercular treatment. Mainstay of treatment is tetracycline and oral isotretinoin. Keywords: Lupus miliaris disseminatus faciei, Acne agminata, caseous necrosis.
Authors and Affiliations
Namrata Sarin, V. K Khurana
Keywords
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