title: Lupus miliaris disseminatus faciei: a distinctive rosacea-like syndrome and not a granulomatous form of rosacea.
abstract: BACKGROUND
  Lupus miliaris disseminatus faciei is an eruption of discrete red-brown, dome-shaped papules, histologically characterized by epithelioid cell granulomas. The pathogenesis of the disorder remains controversial.
  
  
  OBJECTIVE
  The authors discuss the place of lupus miliaris disseminatus faciei among granulomatous disorders.
  
  
  METHODS
  This report reviews the available literature and presents 3 patients with lupus miliaris disseminatus faciei.
  
  
  RESULTS
  The histopathologic characteristics of lupus miliaris disseminatus faciei--an epithelioid cell granuloma with central necrosis--may be found in granulomatous rosacea, whilst the clinical features and course of lupus miliaris disseminatus faciei are often similar to cutaneous sarcoidosis.
  
  
  CONCLUSIONS
  We put forward lupus miliaris disseminatus faciei as a distinctive rosacea-like syndrome and not as a granulomatous form of rosacea.
authors.affiliation: Department of Dermatology, Vrije Universiteit Medical Centre, Amsterdam, The Netherlands. vandescheur@hotmail.com
authors.forename: Martijn R
authors.initials: MR
authors.lastname: van de Scheur
authors.forename: Rutger I F
authors.initials: RI
authors.lastname: van der Waal
authors.forename: Theo M
authors.initials: TM
authors.lastname: Starink
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D015622:Epithelioid Cells / Q000473:pathology; D005148:Facial Dermatoses / Q000473:pathology*; D005260:Female; D006099:Granuloma / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012393:Rosacea / Q000473:pathology*; D012867:Skin / Q000473:pathology