Lupus miliaris disseminatus faciei in a young male.
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.
Department of Dermatology, University Hospital Spedali Civili, Brescia, Italy - manganoni@spedalicivili.brescia.it.
Ausilia M
AM
Manganoni
Consultant Dermatologist, Hospital of Vallecamonica, Esine, Brescia, Italy.
Camillo
C
Farisoglio
Department of Dermatology, University Hospital Spedali Civili, Brescia, Italy.
Laura
L
Pavoni
Department of Anatomic Pathology, Hospital of Vallecamonica, Esine, Brescia, Italy.
Mariella
M
Chiudinelli
General Practitioner, ASL Vallecamonica, Brescia, Italy.
Giuseppe
G
Stillitano
Department of Patology, Istituti Ospitalieri Hospital, Cremona, Italy.
Marco
M
Ungari
Department of Dermatology, University Hospital Spedali Civili, Brescia, Italy.
Piergiacomo
P
Calzavara-Pinton
D000328:Adult; D001706:Biopsy; D004802:Eosinophilia / Q000473:pathology; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D012393:Rosacea / Q000175:diagnosis* / Q000473:pathology