Lupus Miliaris Disseminatus Faciei with Extrafacial Involvement in a 17-Year-Old White Girl

Abstract

Background: Lupus miliaris disseminatus faciei (LMDF) is a benign condition characterized by a papular eruption located in the central face. Histologic studies of the papules show granulomatous infiltrates with central necrosis. The condition is self-limited and usually resolves within 1 to 2 years yet can be cosmetically debilitating, given the location and potential for scarring. Granulomatous periorificial dermatitis similarly affects the face with granulomatous lesions and may overlap clinically with LMDF. Conclusion: This report highlights the challenge in differentiating and treating uncommon granulomatous facial dermatoses.