CASE REPORT   

Giornale Italiano di Dermatologia e Venereologia 2019 December;154(6):714-6

DOI: 10.23736/S0392-0488.17.05169-0

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

Lupus miliaris disseminatus faciei in a young male

Ausilia M. MANGANONI ¹ ✉, Camillo FARISOGLIO ², Laura PAVONI ¹, Mariella CHIUDINELLI ³, Giuseppe STILLITANO ⁴, Marco UNGARI ⁵, Piergiacomo CALZAVARA-PINTON ¹

¹ Department of Dermatology, University Hospital Spedali Civili, Brescia, Italy; ² Consultant Dermatologist, Hospital of Vallecamonica, Esine, Brescia, Italy; ³ Department of Anatomic Pathology, Hospital of Vallecamonica, Esine, Brescia, Italy; ⁴ General Practitioner, ASL Vallecamonica, Brescia, Italy; ⁵ Department of Patology, Istituti Ospitalieri Hospital, Cremona, Italy

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.

KEY WORDS: Skin diseases; Rosacea; Tetracyclines