Scarring of lupus miliaris disseminatus faciei: treatment with a combination of trichloroacetic acid and carbon dioxide laser.
We present a case of a 35-year-old man having a 12-month history of multiple reddish-brown papules on the chin, forehead, cheeks, and eyelids. Histopathologic findings revealed epithelioid cell granulomas with central necrosis consistent with a diagnosis of lupus miliaris disseminatus faciei. After 9 months of combined treatment with ethambutol, rifampin, and pyrazinamide, most lesions gradually resolved but remained as severe disfiguring scars. After 10 sessions of treatments with 100% trichloroacetic acid and CO2 laser, the lupus miliaris disseminatus faciei scars have been much improved and the patient has never experienced a recurrence of disease during subsequent years of follow-up.
['Kang|Boo Kyoung|BK|', 'Shin|Min Kyung|MK|']
D000328:Adult D001706:Biopsy D002424:Caustics D002921:Cicatrix D003131:Combined Modality Therapy D005148:Facial Dermatoses D006099:Granuloma D006801:Humans D054020:Lasers, Gas D028022:Low-Level Light Therapy D008297:Male D009336:Necrosis D012867:Skin D016896:Treatment Outcome D014238:Trichloroacetic Acid
lupus miliaris disseminatus faciei trichloroacetic acid carbon dioxide laser