JMIR Publications

ABSTRACT

A rare granulomatous disease of unknown origin is lupus miliaris disseminatus faciei (LMDF). Associated pitted scars are major complication leads to psychological distress resulting in increased demand for dermatological consultation. Histopathologically, epithelioid granulomas with caseation necrosis are the typical presentation. Advanced research is still ongoing, yet its treatment remains challenging. Management should be individually structured and, the appropriate combination may have a beneficial effect. We report an LMDF case with facial and extra facial localization successfully treated with a combination of medications, the fractional CO2 laser and fillers. In conclusion, the attitude of the patient towards the scar has considerably improved after treatment. In the past era, most authors assumed that a relationship existed between tuberculosis, rosacea and sarcoidosis, however, many authors found it to be a distinct entity. Herein, we also discussed the distinction between listed the ambiguous entities.