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Lupus Miliaris Disseminatus Faciei
Treatment With the 1450-nm Diode Laser
Ming H. Jih, MD, PhD;
Paul M. Friedman, MD;
Arash Kimyai-Asadi, MD;
Edward S. Friedman, MD;
Sharon R. Hymes, MD;
Leonard H. Goldberg, MD
From the DermSurgery Associates (Drs Jih, P. M. Friedman, Kimyai-Asadi, and Goldberg), The University of Texas School of Medicine (Dr P. M. Friedman), Baylor College of Medicine (Dr E. S. Friedman), and The University of Texas M. D. Anderson Cancer Center (Drs Hymes and Goldberg), Houston.
Arch Dermatol. 2005;141:143-145.
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REPORT OF A CASE
A 35-year-old white woman presented with a 3-year history of brown-red papules on her forehead, cheeks, nose, and chin (Figure 1). The lesions were initially treated with topical metronidazole cream, without improvement. A biopsy specimen revealed epithelioid cell granulomas with central necrosis, consistent with a diagnosis of lupus miliaris disseminatus faciei (Figure 2). Oral minocycline therapy (100 mg twice a day) was initiated but was discontinued shortly thereafter because of drug-induced urticaria. Subsequent courses of oral erythromycin (500 mg twice daily for 1 month) and oral isotretinoin (1 mg/kg per day for 2 months) were ineffective. Because of the continued formation of new inflammatory lesions, oral prednisone therapy (40 mg/d) was initiated, but 1 month later there was still no improvement in . . . [Full Text of this Article]
THERAPEUTIC CHALLENGE
SOLUTION
COMMENT
AUTHOR INFORMATION
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