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| Fig. 13.9 Lupus miliaris disseminatus faciei. Numerous red to reddish-brown papules of the central face. (Courtesy of the Walter Reed Army Medical Center teaching files.) |
No. Lupus miliaris disseminatus faciei is a chronic granulomatous disorder of the face of unknown cause. Clinically, it presents as multiple brown to brownish-red to brownish-yellow papules of the face (Fig. 13-9), especially the central face and ears. The cause of this mysterious granulomatous disease is unknown, although some dermatologists consider it to be a variant of granulomatous rosacea. Histologically, it is composed of sarcoidal or, more commonly, caseating granulomas that sometimes demonstrate connections to hair follicles.
Sehgal VN, Srivastava G, Aggarwal AK, et al: Lupus miliaris disseminatus faciei. Part II: an overview,
Skinmed 4:234–238, 2005.
