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Bazargan AS, Roohaninasab M, Kahjoogh HA, Aghdam SB, Taheri A, Jafarzadeh A. From drug therapy failures to laser therapy victory: A case report and literature review of lupus miliaris disseminatus faciei resolution. Clin Case Rep 2024; 12:e9370. [PMID: 39219778 PMCID: PMC11364779 DOI: 10.1002/ccr3.9370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Revised: 07/26/2024] [Accepted: 08/12/2024] [Indexed: 09/04/2024] Open
Abstract
Key Clinical Message Pulsed dye laser (PDL) has proven effective in resolving lupus miliaris disseminatus faciei (LMDF) where drug therapies have failed with a lack of treatment consensus for LMDF, considering early PDL intervention is crucial to achieve resolution without scarring, prevent relapse, and enhance overall treatment outcomes. Abstract Lupus miliaris disseminatus faciei (LMDF) is a rare inflammatory and granulomatous dermatologic disease that primarily affects the face. The optimal treatment for LMDF remains controversial, and there is a lack of consensus on the most effective therapy. This case report highlights the successful use of a 595 nm pulsed dye laser (PDL) in the treatment of LMDF following unsuccessful drug therapy. A 28-year-old male presented with reddish-brown eruptions on his face that had persisted for several months. Clinical examination revealed discrete dome-shaped eruptions in clusters on the central area of the face. Histopathological examination confirmed the diagnosis of LMDF, based on the presence of epithelioid granulomas with central caseous necrosis. Previous treatment with an oral isotretinoin and methotrexate combination also failed to yield satisfactory results. After discontinuing drug therapy, the patient underwent five sessions of PDL treatment. Ten days after the first session, the eruptions began to regress without scarring. Subsequent PDL sessions led to the complete resolution of the eruptions. The patient experienced no relapse during the follow-up period. This case report suggests that PDL treatment may be an effective option for LMDF, particularly in cases where drug therapy has failed. Early initiation of laser treatment may prevent scarring, minimize the adverse effects associated with drug therapy, and reduce the risk of disease relapse. Further research and controlled trials are needed to establish the efficacy of laser therapy in the treatment of LMDF.
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Affiliation(s)
- Afsaneh Sadeghzadeh Bazargan
- Department of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of MedicineIran University of Medical Sciences (IUMS)TehranIran
| | - Masoumeh Roohaninasab
- Department of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of MedicineIran University of Medical Sciences (IUMS)TehranIran
| | | | - Saba Baybordi Aghdam
- Department of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of MedicineIran University of Medical Sciences (IUMS)TehranIran
| | | | - Alireza Jafarzadeh
- Department of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of MedicineIran University of Medical Sciences (IUMS)TehranIran
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Dash A, Verma P, Srivastava P, Choudhary A, Goyal A, Khunger N, Sharma S. Successful use of topical ivermectin in the treatment and maintenance of lupus miliaris disseminatus faciei. Indian J Dermatol Venereol Leprol 2024; 0:1-3. [PMID: 39152850 DOI: 10.25259/ijdvl_28_2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2024] [Accepted: 04/25/2024] [Indexed: 08/19/2024]
Affiliation(s)
- Anshuman Dash
- Department of Dermatology and STD, Vardhman Mahavir Medical College and Safdarjung Hospital, South Delhi, India
| | - Prashant Verma
- Department of Dermatology and STD, Vardhman Mahavir Medical College and Safdarjung Hospital, South Delhi, India
| | - Prakhar Srivastava
- Department of Dermatology & STD, Pandit Madan Mohan Malaviya Hospital, New Delhi, India
| | - Aastha Choudhary
- Department of Dermatology and STD, Vardhman Mahavir Medical College and Safdarjung Hospital, South Delhi, India
| | - Abhay Goyal
- Department of Dermatology and STD, Vardhman Mahavir Medical College and Safdarjung Hospital, South Delhi, India
| | - Niti Khunger
- Department of Dermatology and STD, Vardhman Mahavir Medical College and Safdarjung Hospital, South Delhi, India
| | - Shruti Sharma
- Department of Pathology, Indian Council of Medical Research National Institute of Pathology, Safdarjung Hospital Campus, New Delhi, India
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3
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Mani S, Rout A, Khandare M. Dermoscopic Features of Lupus Miliaris Disseminatus Faciei (LMDF). Indian J Dermatol 2023; 68:728. [PMID: 38371559 PMCID: PMC10868970 DOI: 10.4103/ijd.ijd_889_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2024] Open
Affiliation(s)
- Siddharth Mani
- From the Department of Dermatology, INHS Sanjivani, Kochi, Kerela, India E-mail:
| | - Aradhana Rout
- From the Department of Dermatology, INHS Sanjivani, Kochi, Kerela, India E-mail:
| | - Manish Khandare
- From the Department of Dermatology, INHS Sanjivani, Kochi, Kerela, India E-mail:
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Tang K, Jin H. Lupus miliaris disseminatus faciei in a 10-year-old child: A case report and literature review. J Cosmet Dermatol 2022; 21:6484-6486. [PMID: 35748528 DOI: 10.1111/jocd.15176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Revised: 06/14/2022] [Accepted: 06/21/2022] [Indexed: 12/27/2022]
Affiliation(s)
- Keyun Tang
- Department of Dermatology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China
| | - Hongzhong Jin
- Department of Dermatology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China
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Chatterjee D, Bhattacharjee R, Saikia UN. Non-Infectious Granulomatous Dermatoses: A Pathologist's Perspective. Indian Dermatol Online J 2021; 12:515-528. [PMID: 34430454 PMCID: PMC8354400 DOI: 10.4103/idoj.idoj_662_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Revised: 10/14/2020] [Accepted: 12/14/2020] [Indexed: 11/04/2022] Open
Abstract
Granulomatous dermatitis (GD) is one of the commonest tissue reaction patterns encountered in dermatopathology practice. Granulomatous inflammation in the skin can be seen in a wide range of conditions, thus, granulomatous dermatitis always poses significant challenge even to the astute dermatologists and dermatopathologists. Broadly, granulomatous dermatitis is divided into two groups-infectious and non-infectious, the prevalence of both highly variable and show overlapping pathology. However, there are subtle histological clues, which when combined with clinical features, help to narrow down the differential diagnosis. Thus, a good Clinicopathological correlation (CPC) along with histochemical stains, culture and ancillary techniques including molecular studies are required for arriving at a definite diagnosis. In this review, we shall discuss the histological clues to diagnose non-infectious granulomatous dermatitis (NIGD) and their differential diagnoses.
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Affiliation(s)
- Debajyoti Chatterjee
- Department of Histopathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Rajsmita Bhattacharjee
- Department of Dermatology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Uma Nahar Saikia
- Department of Histopathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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Seo JI, Shin MK. Lupus Miliaris Disseminatus Faciei versus Granulomatous Rosacea: A Case Report. Case Rep Dermatol 2021; 13:321-329. [PMID: 34248540 PMCID: PMC8255731 DOI: 10.1159/000517209] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Accepted: 05/16/2021] [Indexed: 11/19/2022] Open
Abstract
Lupus miliaris disseminatus faciei (LMDF) and granulomatous rosacea are 2 distinct inflammatory dermatoses with overlapping clinical features: reddish-yellow papular eruptions localized on the central face. Consequently, LMDF can easily be misdiagnosed as granulomatous rosacea or vice versa. Because delayed treatment in LMDF may increase chances of permanent scar formation, accurate diagnosis is important. We therefore analyzed published literature and case studies to organize the essential features differentiating LMDF from granulomatous rosacea. In addition, we report each case of LMDF and granulomatous rosacea for direct comparison.
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Affiliation(s)
- Ji-In Seo
- Department of Dermatology, School of Medicine, Kyung Hee University, Seoul, Republic of Korea
| | - Min Kyung Shin
- Department of Dermatology, School of Medicine, Kyung Hee University, Seoul, Republic of Korea
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Lupus Miliaris Disseminatus Faciei of the Posterior Eyelids: A Case Report. Ophthalmic Plast Reconstr Surg 2021; 36:e90-e91. [PMID: 32049944 DOI: 10.1097/iop.0000000000001603] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A 70-year-old woman with a history of Demodex blepharitis presented with a 1-year history of red-yellow nodules in the tarsus of her eyelids. Excisional biopsy revealed robust caseating granulomatous inflammation, consistent with the diagnosis of lupus miliaris disseminatus faciei. Lupus miliaris disseminatus faciei is a rare granulomatous dermatosis of unknown etiology. Estimated 200 cases have been reported to date, but none have been reported affecting the posterior lamellae of the eyelids. Lupus miliaris disseminatus faciei classically presents as symmetric yellow or brown papules on the central face and eyelid skin. Infectious etiologies and systemic granulomatous disease need to be ruled out with histologic staining and serologies.
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Garcia ACM, Barbosa ÂM, Abreu MAMMD, Filho CZ. Case for diagnosis. Eyelid edema and erythematous papules disseminated on the face. An Bras Dermatol 2020; 95:754-756. [PMID: 32912800 PMCID: PMC7672395 DOI: 10.1016/j.abd.2019.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2019] [Accepted: 11/25/2019] [Indexed: 12/02/2022] Open
Abstract
Lupus miliaris disseminatus faciei or acne agminata is a chronic inflammatory disorder of the skin, considered an intriguing entity due to its pathogenesis, which is still largely speculative. It has been linked to tuberculosis, sarcoidosis, rosacea, and other granulomatous diseases, but it is considered an independent entity.
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Affiliation(s)
- Ana Cristina M Garcia
- Dermatology Service, Hospital Regional de Presidente Prudente, Universidade do Oeste Paulista, Presidente Prudente, SP, Brazil.
| | - Ângela Marques Barbosa
- Dermatology Service, Hospital Regional de Presidente Prudente, Universidade do Oeste Paulista, Presidente Prudente, SP, Brazil
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9
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Radi G, Campanati A, Brisigotti V, Diotallevi F, Martina E, Molinelli E, Bobyr I, Scarpelli M, Offidani A. Acne agminata in Crohn's disease: A diagnostic and therapeutic challenge case for dermatologists. Dermatol Ther 2020; 33:e13935. [DOI: 10.1111/dth.13935] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 06/16/2020] [Accepted: 06/26/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Giulia Radi
- Dermatology Unit, Department of Clinical and Molecular Sciences Polytechnic Marche University, School of Medicine, United Hospitals Ancona Italy
| | - Anna Campanati
- Dermatology Unit, Department of Clinical and Molecular Sciences Polytechnic Marche University, School of Medicine, United Hospitals Ancona Italy
| | - Valerio Brisigotti
- Dermatology Unit, Department of Clinical and Molecular Sciences Polytechnic Marche University, School of Medicine, United Hospitals Ancona Italy
| | - Federico Diotallevi
- Dermatology Unit, Department of Clinical and Molecular Sciences Polytechnic Marche University, School of Medicine, United Hospitals Ancona Italy
| | - Emanuela Martina
- Dermatology Unit, Department of Clinical and Molecular Sciences Polytechnic Marche University, School of Medicine, United Hospitals Ancona Italy
| | - Elisa Molinelli
- Dermatology Unit, Department of Clinical and Molecular Sciences Polytechnic Marche University, School of Medicine, United Hospitals Ancona Italy
| | - Ivan Bobyr
- Dermatology Unit, Department of Clinical and Molecular Sciences Polytechnic Marche University, School of Medicine, United Hospitals Ancona Italy
| | - Marina Scarpelli
- Section of Pathological Anatomy, Department of Biomedical Sciences Polytechnic University of the Marche Region, School of Medicine, United Hospitals Ancona Italy
| | - Annamaria Offidani
- Dermatology Unit, Department of Clinical and Molecular Sciences Polytechnic Marche University, School of Medicine, United Hospitals Ancona Italy
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10
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Abstract
RATIONALE Lupus miliaris disseminatus faciei (LMDF) is an inflammatory granulomatous skin disease without a clear etiology that frequently involves the middle area of the face and the upper eyelids. Pathological features of the disease include caseation necrosis and epithelioid granuloma. Consensus treatment for LMDF is currently unavailable. PATIENT CONCERNS A 47-year-old Chinese female patient who presented with facial pruritic, erythematous papules 8 months before this study. She was diagnosed with skin tuberculosis at another hospital and given antituberculosis medication. However, the treatment was not efficacious. DIAGNOSES In this study, the diagnosis of Demodex-induced LMDF was made by a dermatologist according to physical examination, skin biopsy pathology, and microscopic examination. INTERVENTIONS The patient was given ornidazole tablets (500 mg twice a day) and recombinant bovine basic fibroblast growth factor gel (0.2 g/cm twice a day) for an 8-week period. OUTCOMES Eight weeks after the treatment, the facial erythematous papules were improved, and no new skin lesions were observed. The patient showed no signs of recurrence during the 6-month follow-up. LESSONS SUBSECTIONS This case showed that ornidazole combined with recombinant bovine basic fibroblast growth factor gel might be useful in treatment of Demodex-induced LMDF. In addition, the results suggested that pathological caseation necrosis was caused by a series of inflammatory and immune responses to Demodex infection.
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11
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Granulomatous Rosacea Versus Lupus Miliaris Disseminatus Faciei—2 Faces of Facial Granulomatous Disorder: A Clinicohistological and Molecular Study. Am J Dermatopathol 2018; 40:819-823. [DOI: 10.1097/dad.0000000000001243] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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12
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Pruitt LG, Fowler CO, Page RN, Coleman NM, King R. Extrafacial nuchal lupus miliaris disseminatus faciei. JAAD Case Rep 2017; 3:319-321. [PMID: 28752120 PMCID: PMC5517833 DOI: 10.1016/j.jdcr.2017.04.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- Laura G Pruitt
- East Carolina University Dermatology, Greenville, North Carolina
| | | | - Robert N Page
- Dermatopathology Partners of Knoxville, Knoxville, Tennessee.,University of Tennessee Graduate School of Medicine at Knoxville, Department of Pathology, Knoxville, Tennessee
| | - Neil M Coleman
- Dermatopathology Partners of Knoxville, Knoxville, Tennessee.,University of Tennessee Graduate School of Medicine at Knoxville, Department of Pathology, Knoxville, Tennessee
| | - Roy King
- Dermatopathology Partners of Knoxville, Knoxville, Tennessee.,University of Tennessee Graduate School of Medicine at Knoxville, Department of Pathology, Knoxville, Tennessee
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13
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Affiliation(s)
- Kathleen M Nemer
- Division of Dermatology, Washington University School of Medicine, St Louis, Missouri
| | - Laura Y McGirt
- Levine Cancer Institute, Carolinas Medical Center, Charlotte, North Carolina
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14
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Manganoni AM, Farisoglio C, Pavoni L, Chiudinelli M, Stillitano G, Ungari M, Calzavara-Pinton P. Lupus miliaris disseminatus faciei in a young male. GIORN ITAL DERMAT V 2015; 154:714-716. [PMID: 26349925 DOI: 10.23736/s0392-0488.17.05169-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
We report a case of a healthy 26-year-old male with multiple asymptomatic reddish papules and papule-nodules on the central area of the face, persisting from more than 2 months and gradually increasing in number. An incisional skin biopsy revealed a confluent dense granulomatous infiltrate centred by large areas of eosinophilic necrosis consistent with the diagnosis of lupus miliaris disseminatus faciei (LMDF). This is a rare dermatosis first described in 1878 by Fox, that often poses a clinical challenge as it is a disease process which is difficult to diagnose. In fact, in our case, a diagnosis of LMDF was made on skin biopsy. We think that collaboration among dermatologists and General Practitioners is very important for diagnosis of rare dermatosis and especially for management of it, in order to prevent the development of depressed scars.
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Affiliation(s)
- Ausilia M Manganoni
- Department of Dermatology, University Hospital Spedali Civili, Brescia, Italy -
| | - Camillo Farisoglio
- Consultant Dermatologist, Hospital of Vallecamonica, Esine, Brescia, Italy
| | - Laura Pavoni
- Department of Dermatology, University Hospital Spedali Civili, Brescia, Italy
| | - Mariella Chiudinelli
- Department of Anatomic Pathology, Hospital of Vallecamonica, Esine, Brescia, Italy
| | | | - Marco Ungari
- Department of Patology, Istituti Ospitalieri Hospital, Cremona, Italy
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15
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Michaels JD, Cook-Norris RH, Lehman JS, Gibson LE. Adult with papular eruption on the central aspect of the face. J Am Acad Dermatol 2014; 71:410-2. [DOI: 10.1016/j.jaad.2012.06.039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2012] [Accepted: 06/09/2012] [Indexed: 11/30/2022]
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16
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Ayhan E, Alabalik U, Avci Y. Dermoscopic evaluation of two patients with lupus miliaris disseminatus faciei. Clin Exp Dermatol 2014; 39:500-2. [DOI: 10.1111/ced.12331] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/13/2013] [Indexed: 11/27/2022]
Affiliation(s)
- E. Ayhan
- Department of Dermatology; Zile State Hospital; Tokat Turkey
| | - U. Alabalik
- Department of Pathology; Faculty of Medicine; Dicle University; Diyarbakir Turkey
| | - Y. Avci
- Department of Pathology; Faculty of Medicine; Dicle University; Diyarbakir Turkey
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17
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Levin NA, Rivard J, Yasuda M, McMullen K, Deng A. Follicular papules and pustules of the central face in a 40-year-old man. Clin Exp Dermatol 2014; 39:259-61. [PMID: 24450807 DOI: 10.1111/ced.12263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2013] [Indexed: 11/26/2022]
Affiliation(s)
- N A Levin
- UMass Memorial Health Care, Worcester, MA, USA; Division of Dermatology, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA
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Abstract
A 45-year-old woman had a 1-year history of multiple small papules on both upper eyelids that waxed and waned in size and disappeared in the vicinity of a steroid injection site. Acne agminata (lupus miliaris disseminatus faciei, acnitis, papular tuberculid) is a rare form of necrotizing granulomatous inflammation of the dermis that has received scant attention in the ophthalmologic literature. The diagnosis is reached by excluding other forms of necrotizing granulomatous dermatitis based on clinical and histologic features.
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20
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Granulomatous and histiocytic diseases. Dermatopathology (Basel) 2009. [DOI: 10.1016/b978-0-7020-3023-9.10010-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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21
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Hillen U, Schröter S, Denisjuk N, Jansen T, Grabbe S. Axillary acne agminata (lupus miliaris disseminatus faciei with axillary involvement). J Dtsch Dermatol Ges 2006; 4:858-60. [PMID: 17010176 DOI: 10.1111/j.1610-0387.2006.06112.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Acne agminata (AA) and lupus miliaris disseminatus faciei (LMDF) have been used to describe very similar clinical conditions and it is now generally accepted that they are synonymous. The cause of these disorders has not been determined. Clinically the disease presents with often agminated redbrown to yellow papules which occasionally become pustular. Microscopically, superficial granulomatous inflammation with perifollicular caseating granulomas is the hallmark. Axillary involvement with LMDF has rarely been reported; in this area AA has been the preferred term. When only the axillae are affected, it may be difficult to distinguish acne agminata from other granulomatous diseases, especially from granulomas caused by antiperspirants containing aluminumzirconium complexes. We describe a 36-year-old woman with axillary acne agminata.
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Affiliation(s)
- Uwe Hillen
- Department of Dermatology, University Clinic of Essen, Germany.
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Gaudy-Marqueste C, Gachon J, Tasei AM, Grob JJ, Richard MA. Éruption du visage. Ann Dermatol Venereol 2006; 133:593-4. [PMID: 16885855 DOI: 10.1016/s0151-9638(06)70971-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C Gaudy-Marqueste
- Service de Dermatologie, Hôpital Sainte-Marguerite, 270, boulevard de Sainte-Marguerite, 13009 Marseille
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Alonso V, Ramón D, Martín JM, Monteagudo C, Molina I, Jordá E. [Lupus miliaris disseminatus faciei]. ACTAS DERMO-SIFILIOGRAFICAS 2006; 96:182-5. [PMID: 16476363 DOI: 10.1016/s0001-7310(05)73064-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Lupus miliaris faciei is a chronic inflammatory dermatosis that most often affects young adults. For years, it has successively been considered a form of tuberculosis, sarcoidosis and rosacea. Recently, some authors have proposed that it should be considered a distinct entity. It is an eruption of small, brownish-erythematous papules, primarily located on the face, especially in the periocular area. It is self-limited and generally leaves residual punctate scars. We present the case of a 25-year-old male affected by Lupus miliaris disseminatus faciei and discuss its main characteristics, as well as the different problems in its etiopathogenic classification.
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Affiliation(s)
- Vicent Alonso
- Departamento de Dermatología, Hospital Clínico Universitario de Valencia, Avda. Blasco Ibáñez 17, 46010 Valencia, Spain.
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Misago N, Nakafusa J, Narisawa Y. Childhood granulomatous periorificial dermatitis: lupus miliaris disseminatus faciei in children? J Eur Acad Dermatol Venereol 2005; 19:470-3. [PMID: 15987296 DOI: 10.1111/j.1468-3083.2004.01178.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Childhood granulomatous periorificial dermatitis (CGPD) is a granulomatous disease characterized by monomorphous, small papular eruptions around the mouse, nose and eyes, and is thought to be closely related to perioral dermatitis. This condition has always been believed to occur more commonly in dark-skinned patients; however, recent observations have revealed CGPD to occur also in white patients. OBSERVATION We report an 11-year-old Japanese boy with the characteristic features of CGPD. Although sarcoidosis and acne/granulomatous rosacea could be differentiated from CGPD, we could find no essential differences between CGPD and lupus miliaris disseminatus faciei (LMDF). The cases of LMDF in children, which were recorded in the Japanese literature, had highly similar clinicopathological features to those of CGPD. This case responded dramatically to topical tacrolimus in combination with the oral administration of minocycline. CONCLUSIONS The entity 'facial idiopathic granulomas with regressive evolution' is considered to include LMDF (a common adult form), CGPD (a rare childhood form) and perioral dermatitis (a peculiar form exacerbated by topical corticosteroids). Topical tacrolimus may be recommended as one of the therapies for LMDF as well as CGPD.
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MESH Headings
- Administration, Cutaneous
- Administration, Oral
- Anti-Bacterial Agents/administration & dosage
- Child
- Dermatitis, Perioral/diagnosis
- Dermatitis, Perioral/drug therapy
- Dermatitis, Perioral/pathology
- Diagnosis, Differential
- Drug Therapy, Combination
- Granulomatous Disease, Chronic/diagnosis
- Granulomatous Disease, Chronic/drug therapy
- Granulomatous Disease, Chronic/pathology
- Humans
- Immunosuppressive Agents/administration & dosage
- Lupus Vulgaris/diagnosis
- Lupus Vulgaris/drug therapy
- Lupus Vulgaris/pathology
- Male
- Minocycline/administration & dosage
- Tacrolimus/administration & dosage
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Affiliation(s)
- N Misago
- Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Saga University, Nabeshima 5-1-1, Saga 849-8501, Japan.
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Sehgal VN, Srivastava G, Aggarwal AK, Belum VR, Reddy V, Sharma S. Lupus miliaris disseminatus faciei. Part I: Significance of histopathologic undertones in diagnosis. Skinmed 2005; 4:151-6. [PMID: 15891251 DOI: 10.1111/j.1540-9740.2005.03510.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Since its clinical discovery, lupus miliaris disseminatus faciei has sporadically been reported to have different modes of clinicopathologic expression. OBJECTIVE The purpose of this study was to work up a list of histopathologic undertones and to project and propagate lupus miliaris disseminatus faciei as an exclusive entity. An upcoming Part II of this study will present an overview of the disease. METHODS All patients visiting the outpatient clinic conforming to hitherto accepted clinical features were included to study patients' age and sex, duration of the disease, and above all, conduct a detailed histopathology review. Using the detailed information obtained, an endeavor was made to organize the disease into early, fully developed, and late lesions. RESULTS The details of the various parameters were of great help in evolving this modus operandi. The clinical as well as histopathologic features of lupus miliaris disseminatus faciei are fairly distinct and facilitate visualizing the entity as a spectrum comprising early, fully developed, and late lesions. Further studies are called for.
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Affiliation(s)
- Virendra N Sehgal
- Dermato-Venereology Centre, Sehgal Nursing Home, Panchwati, Azadpur, Delhi, India.
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Abstract
BACKGROUND Lupus miliaris disseminatus faciei is recognized by all authors as a unique entity, despite many appellations for this disease. In fact, the real origin and the treatment of this affection are unknown. In this study we try to specify the major histological and clinical points of diagnosis, the evolution in the mid-term and the different possibilities of the treatment. PATIENTS AND METHODS This is a retrospective study of the patients diagnosed with lupus miliaris and followed-up by one of us (P.M.) between 1990 and 2000. RESULTS There were 6 patients in this study, 5 males and 1 female. The mean age was 37 years old at the time of diagnosis. The patients exhibited a facial eruption, notably in the middle of the face, eyelids and peri-oral area. All the patients had a polymorph eruption of inflammatory and smooth papules. Many of these papules progressed in several weeks to round scars with a perpendicular carved shape. Histologically and depending of the stage of evolution of the lesion, there were some epithelioid cell and giant cell granulomas organized around the necrosis. All of the trial treatments led to failure or semi-failure. Four of the patients followed-up for several years spontaneously recovered from this disease within 2 to 4 years. DISCUSSION Based on the anatomical and clinical similarities observed in these 6 patients, our study confirms the authenticity of the "lupus miliaris". It did not correspond to a particular form of acne, rosacea, tuberculosis or sarcoidosis. The scars are pathognomonical of this type of eruption. No treatment seems to be efficient. However our study seems to confirm the general idea of spontaneous recovery with 2 to 4 years.
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Affiliation(s)
- R Borhan
- Service de Dermatologie 2, Hôpital Saint-Louis, Paris
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Affiliation(s)
- F J Moloney
- Department of Dermatology, Beaumont Hospital, Dublin, Ireland.
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Nino M, Barberio E, Delfino M. Lupus miliaris disseminatus faciei and its debated link to tuberculosis. J Eur Acad Dermatol Venereol 2003; 17:97. [PMID: 12602984 DOI: 10.1046/j.1468-3083.2003.00519_1.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Schattner A, Gilad A, Cohen J. Systemic granulomatosis and hypercalcaemia following intravesical bacillus Calmette-Guérin immunotherapy. J Intern Med 2002; 251:272-7. [PMID: 11886488 DOI: 10.1046/j.1365-2796.2002.00957.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Ami Schattner
- Department of Medicine, Kaplan Medical Center, Rehovot, Israel.
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Braun-Falco O, Plewig G, Wolff HH, Burgdorf WHC. Bacterial Diseases. Dermatology 2000. [DOI: 10.1007/978-3-642-97931-6_4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
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