Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Jul/Aug;36(4):e90-e91.
doi: 10.1097/IOP.0000000000001603.

Lupus Miliaris Disseminatus Faciei of the Posterior Eyelids: A Case Report

Meera S Ramakrishnan  1 , Vivian Lee  1 , John T Seykora  2 , César A Briceño  1
Affiliations
Case Reports

Lupus Miliaris Disseminatus Faciei of the Posterior Eyelids: A Case Report

Meera S Ramakrishnan et al. Ophthalmic Plast Reconstr Surg. 2020 Jul/Aug.

Abstract

A 70-year-old woman with a history of Demodex blepharitis presented with a 1-year history of red-yellow nodules in the tarsus of her eyelids. Excisional biopsy revealed robust caseating granulomatous inflammation, consistent with the diagnosis of lupus miliaris disseminatus faciei. Lupus miliaris disseminatus faciei is a rare granulomatous dermatosis of unknown etiology. Estimated 200 cases have been reported to date, but none have been reported affecting the posterior lamellae of the eyelids. Lupus miliaris disseminatus faciei classically presents as symmetric yellow or brown papules on the central face and eyelid skin. Infectious etiologies and systemic granulomatous disease need to be ruled out with histologic staining and serologies.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Borhan R, Vignon-Pennamen MD, Morel P. Lupus miliaris disseminatus faciei – 6 cases. Ann Dermatol Venerol 2005;132:526–30.
    1. Fox T. Disseminated follicular lupus (simulating acne). Lancet 1878;112:75–6.
    1. Hodak E, Trattner A, Feuerman H, et al. Lupus miliaris disseminatus faciei—the DNA of Mycobacterium tuberculosis is not detectable in active lesions by polymerase chain reaction. Br J Dermatol 2006;137:614–9.
    1. Skowron F, Causeret AS, Pablon C, et al. F.I.G.U.R.E.: facial idiopathic granuloma with regressive evolution, is ‘lupus miliaris disseminatus faciei’ still an acceptable diagnosis in the third millennium? Dermatology 2000;201:287–9.
    1. Shitara A. Clinicopathological and immunological studies of lupus miliaris disseminatus faciei. J Dermatol 1982;9:383–95.

Publication types