Abstract
Lupus miliaris disseminatus faciei (LMDF) is a rare inflammatory disorder characterized by asymptomatic papular lesions mainly over the central part of the face, common in young adults and with a spontaneously resolving course. Its exact etiology remains unknown, its treatment is problematic, and there is a lack of controlled studies on LMDF. Histopathology shows dermal epithelioid granulomas with central necrosis and surrounding lymphocytic infiltrate with multinucleate giant cells. Dermoscopic findings published show discrete focal orangish structureless areas located around follicular openings with whitish keratotic plugs. Herein, we report a case of LMDF with dermoscopy showing stellate scar signs and structureless white areas.
Highlights
Lupus miliaris disseminatus faciei (LMDF), known as acne agminata, is a rare chronic granulomatous disorder of unknown etiology first described by Fox in 1878 [1]
Dermoscopic findings include discrete focal orangish structureless areas located around follicular openings with whitish keratotic plugs [3]
Lupus miliaris disseminatus faciei (LMDF) is an uncommon but very distinct chronic inflammatory dermatosis characterized by reddish-yellow or yellowishbrown papules on the central face, on and around the eyelids [4]
Summary
Lupus miliaris disseminatus faciei (LMDF), known as acne agminata, is a rare chronic granulomatous disorder of unknown etiology first described by Fox in 1878 [1]. Its clinical features are asymptomatic bilaterally symmetric papules characteristically distributed over the central part of the face [2]. Histopathology shows epithelioid cell granulomas with central necrosis. Its classical clinical features and histopathology have been described, reports on the dermoscopic findings are scarce. We report a new case of LMDF with varied dermoscopic features not described before. A previously healthy 21-year-old male consulted us about asymptomatic lesions over the face persistent for three months prior. The lesions were distributed symmetrically, more over the central part of the face, namely the nose, cheeks, perioral areas, and chin (Fig. 1). Dermoscopy showed white areas of the stellar scar sign, structureless white areas, follicular plugs, and brownish-red globules (Fig. 3).
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
