Lupus miliaris disseminatus faciei - Skin
LMDF typically affects adolescents and adults of both sexes. Lesions are usually asymptomatic and resolve spontaneously in 1-2 years with pitted scars. The eruption does not have any known associations with systemic disease.
L93.2 – Other local lupus erythematosus
397845003 – Granulomatous rosacea
- Sarcoidosis – Must evaluate for other clinical and laboratory findings of sarcoidosis.
- Granulomatous rosacea (see rosacea) – Other signs of rosacea such as flushing, erythema, and telangiectasias may be present.
- Lupus vulgaris (see cutaneous tuberculosis) – Testing such as serum QuantiFERON-TB Gold or tuberculin skin testing may be useful to evaluate for signs of tuberculosis infection.
- Granulomatous periorificial dermatitis – Often responsive to tetracyclines.
- Miliary and agminated type primary and cutaneous follicle center lymphoma (see cutaneous B-cell lymphoma) – Skin biopsy is useful to distinguish this entity from LMDF.
- Acne vulgaris – Involvement of lower eyelids suggests LMDF rather than acne vulgaris.
- Polymorphous light eruption – Lesions are often pruritic and are always restricted to sun-exposed areas.
- Seborrheic dermatitis – There is often dryness, pruritus, erythema, and fine, greasy scaling.
- Eruptive syringomas (see syringoma) – Skin biopsy may be useful to distinguish this entity from LMDF.