Lupus Miliaris Disseminatus Faciei Treatment & Management

Updated: Mar 06, 2020
  • Author: Dirk M Elston, MD; Chief Editor: William D James, MD  more...
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Treatment

Medical Care

A variety of medical treatments reportedly are effective in lupus miliaris disseminatus faciei (LMDF), although controlled studies that support one treatment or group treatments as optimal are lacking. Reported therapies include the following:

  • Low-dose prednisone [9]

  • Intralesional triamcinolone [10]

  • Intramuscular triamcinolone [11]

  • Dapsone (systemically and topically) [12]

  • Tetracycline products

  • Antimalarials

  • Pyridoxine hydrochloride

  • Riboflavin

  • Isotretinoin [13]

  • Tranilast [14]

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Surgical Care

Scar revision procedures (laser resurfacing, dermabrasion, chemical peel) may benefit patients after the disease has run its course. Treatment with the 1450-nm diode laser has been reported to be effective. Pulse-dye laser has been used to successfully treat the erythema of rosacea, but its use in this condition has not been described.

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Consultations

No consultations are indicated.

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Diet

No dietary association (excess or deficiency) with lupus miliaris disseminatus faciei (LMDF) is described.

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Activity

No physical activities or exposures are described that either improve or worsen lupus miliaris disseminatus faciei (LMDF).

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Complications

Scarring (occasionally severe) is the primary complication of lupus miliaris disseminatus faciei (LMDF). Efforts to control the disease and minimize scarring are laudable; however, take care that patients do not unduly experience the complications of therapy for this self-limiting disease.

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Prevention

Since the pathogenesis of lupus miliaris disseminatus faciei (LMDF) is unknown, prevention methods are difficult to define.

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