Acne agminata limited to the eyelids.
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.
Proia
Alan D
AD
Department of Pathology and daggerOphthalmology, Duke University Medical Center, Durham, North Carolina 27710, USA. proia001@mc.duke.edu
Richard
Michael J
MJ
D017486:Acneiform Eruptions / Q000473:pathology*; D003937:Diagnosis, Differential; D005141:Eyelid Diseases / Q000473:pathology*; D005148:Facial Dermatoses / Q000473:pathology*; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000473:pathology*; D008875:Middle Aged; D013577:Syndrome; D009626:Terminology as Topic