Clinical review reports extrafacial presentations of lupus miliaris disseminatus faciei, highlighting the need to distinguish atypical lesions from other granulomatous dermatoses.
Lupus miliaris disseminatus faciei (LMDF) is an inflammatory dermatosis characterized by 1- to 3-mm red-to-yellow-brown papules on the central and lateral face, particularly on and around the eyelids. Lesions can occur singly or in crops. The discrete papules appear yellow-brown (“apple-jelly”) on diascopy and as epithelioid cell granulomas histologically, thus, resembling tuberculosis, sarcoidosis, or other granulomatous diseases.1 LMDF classically presents on the face; however, an increasing number of cases are reported with extrafacial involvement.
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Nemer et al. (2016) studied this question.
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