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January - February 2020 Lupus miliar diseminado de la cara
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Vol. 111. Issue 1.
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Vol. 111. Issue 1.
Pages 70 (January - February 2020)
Imágenes en Dermatología
DOI: 10.1016/j.ad.2018.03.032
Open Access
Lupus miliar diseminado de la cara
Lupus Miliaris Disseminatus Faciei
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V. Zawar, S. Kumavat
Corresponding author
shri.kumavat@gmail.com

Autor para correspondencia.
, M. Pawar
MVP'S DVP Medical College and Hospital, Nashik, Maharashtra, India
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Varón de 23 años de edad que acude a consulta con una erupción pápulo-pustular, eritematosa, múltiple recurrente y asintomática desde hacía 6 meses en las áreas centro-faciales. Con anterioridad fue tratado con isotretinoína oral, azitromicina oral y mupirocina, ácido fusídico y ketoconazol tópicos. En la exploración se observaron numerosas lesiones simétricas pápulo-pustulosas eritematosas en las zonas malares, nariz y orejas, acompañadas de cicatrices de lesiones previas curadas (figs. 1 y 2). Establecimos el diagnóstico diferencial entre Lupus miliaris disseminatus faciei (LMDF), acné vulgar, sarcoidosis y rosácea granulomatosa. En la biopsia se identificaron granulomas con necrosis central caseosa rodeada por histiocitos epitelioides en la dermis, confirmando el diagnóstico de LMDF. Es este un proceso inflamatorio granulomatoso crónico con pápulas y pústulas eritematosas en las zonas centrales de la cara. Nuestro paciente mejoró con la administración de dapsona 100mg/día/4 semanas. Se mantuvo sin lesiones durante 6 meses, perdiéndose su seguimiento a continuación.


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