17 岁白人女孩面部播散性粟粒性狼疮伴面部外累及。

Lupus miliaris disseminatus faciei with extrafacial involvement in a 17-year-old white girl.

机构信息

Department of Dermatology, McGill University Health Centre, Montreal, QC, Canada.

出版信息

J Cutan Med Surg. 2011 Nov-Dec;15(6):340-3. doi: 10.2310/7750.2011.10034.

DOI:10.2310/7750.2011.10034

PMID:22202509

Abstract

BACKGROUND

Lupus miliaris disseminatus faciei (LMDF) is a benign condition characterized by a papular eruption located in the central face. Histologic studies of the papules show granulomatous infiltrates with central necrosis. The condition is self-limited and usually resolves within 1 to 2 years yet can be cosmetically debilitating, given the location and potential for scarring. Granulomatous periorificial dermatitis similarly affects the face with granulomatous lesions and may overlap clinically with LMDF.

CONCLUSION

This report highlights the challenge in differentiating and treating uncommon granulomatous facial dermatoses.

摘要

背景

颜面播散性粟粒性狼疮（LMDF）是一种良性疾病，表现为位于面中部的丘疹性发疹。丘疹的组织学研究显示为中央坏死的肉芽肿性浸润。该疾病具有自限性，通常在 1 至 2 年内自行缓解，但鉴于病变位置和潜在的瘢痕形成，会对容貌造成损害。同样累及面中部的肉芽肿性眶周皮炎，其临床表现与 LMDF 重叠，也具有相似的肉芽肿性皮损。