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:
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.
Consultations
No consultations are indicated.
Diet
No dietary association (excess or deficiency) with lupus miliaris disseminatus faciei (LMDF) is described.
Activity
No physical activities or exposures are described that either improve or worsen lupus miliaris disseminatus faciei (LMDF).
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.
Prevention
Since the pathogenesis of lupus miliaris disseminatus faciei (LMDF) is unknown, prevention methods are difficult to define.
-
Histopathology of lupus miliaris disseminatus faciei showing nodule with caseation necrosis. Image courtesy of Dr. Dirk Elston.
-
Lupus miliaris disseminatus faciei central facial papules. Courtesy of San Antonio Uniformed Services Health Education Consortium.
-
Lupus miliaris disseminatus faciei.