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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus

Published on: May 16, 2025

Lupus miliaris disseminatus faciei.

D Gupta¹, S P Dewan, A Kaur

¹Department of Skin and STD, Medical College, GND Hospital, Amritsar, India.

Indian Journal of Dermatology, Venereology and Leprology

|October 16, 2010

Summary

Lupus miliaris disseminatus faciei (acne agminata) is a rare facial condition in adults. This case report highlights its presentation and diagnostic findings, showing tuberculoid granuloma on histopathology.

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Area of Science:

Dermatology
Pathology

Background:

Lupus miliaris disseminatus faciei, also known as acne agminata, is a rare facial condition primarily affecting adults.
Its historical classification as a tuberculid and its relationship with rosacea remain areas of uncertainty.

Purpose of the Study:

To report a distinct case of Lupus miliaris disseminatus faciei.
To detail the clinical presentation, diagnostic investigations, and histopathological findings.

Main Methods:

Clinical case presentation with detailed description of facial lesions and scars.
Diagnostic workup including investigations for tuberculosis.
Histopathological examination of affected tissue.

Main Results:

The patient presented with multiple yellowish-brown to erythematous papular lesions and significant pitted atrophic scarring on the face over 8 months.
Tuberculosis investigations yielded negative results.
Histopathology confirmed the presence of tuberculoid granuloma.

Conclusions:

The histopathological finding of tuberculoid granuloma in this case supports a granulomatous etiology for Lupus miliaris disseminatus faciei.
Further research is warranted to clarify the exact pathogenesis and relationship with other facial dermatoses like rosacea.